NPI
17 Eagle Vilonia Professional LLC
Doing business as Lane Family Dentistry. NPI 1508756073
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2025-07-07
- Last updated
- 2025-07-07
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 17 Eagle Park Dr
- City
- Vilonia AR
- Postal code
- 72173-9050
- Phone
- (501) 796-3903
Organization contact
- Name
- Ashley Forsyth
- Title
- Payor Relations
- Phone
- (501) 796-3903
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Vilonia, AR. 77 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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