Provider Demographics
NPI:1720798168
Name:JOAN E. LANIER,DDS,MS,PLC
Entity Type:Organization
Organization Name:JOAN E. LANIER,DDS,MS,PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:LANIER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:248-933-5691
Mailing Address - Street 1:26699 W 12 MILE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-7815
Mailing Address - Country:US
Mailing Address - Phone:248-933-5691
Mailing Address - Fax:
Practice Address - Street 1:26699 W 12 MILE RD STE 200
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-7815
Practice Address - Country:US
Practice Address - Phone:248-933-5691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty