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Dr. Kerry Jurgens Lane, DDS
General Practice Dentistry in Southampton, New York
NPI 1386861078

Kerry Jurgens Lane is a General Practice Dentistry based in Southampton, NY and is specialized in General Practice. Kerry Jurgens Lane practices in Southampton, NY and has the professional credentials of DDS. The NPI Number for Kerry Jurgens Lane is 1386861078 and holds a License No. 042010-1 (New York).

The current practice location address for Kerry Jurgens Lane is 325 Meeting House Lane, Southampton, NY and can be reached out via phone at 631-283-1543 and via fax at 631-287-4598.

Location: 325 Meeting House Lane, Southampton, NY, 11968-5087
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386861078
Provider Name
Kerry Jurgens Lane
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
325 Meeting House Lane, Southampton, NY, 11968-5087
Phone Number
631-283-1543
Fax Number
631-287-4598
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
042010-1 01 NY DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
325 Meeting House Lane
City
Southampton
State
New York
Zip
11946
Phone Number
631-283-1543
Fax Number
631-287-4598
person
Provider Business Mailing Address Details
Address
325 Meeting House Lane
City
Southampton
State
New York
Zip
11946
Phone Number
631-283-1543
Fax Number
631-287-4598
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
042010-1 (New York)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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