Provider Demographics
NPI:1912169616
Name:LANE, CARTER A (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:CARTER
Middle Name:A
Last Name:LANE
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 3
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354
Mailing Address - Country:US
Mailing Address - Phone:714-986-9043
Mailing Address - Fax:714-986-9052
Practice Address - Street 1:73-899 HIGHWAY 111
Practice Address - Street 2:SUITE B
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260
Practice Address - Country:US
Practice Address - Phone:909-799-1825
Practice Address - Fax:714-986-9052
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2025-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA472471223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics