Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. William Blake Lane, DDS, MSD, PC

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1962420646

Dr. William Blake Lane, DDS, MSD, PC is an Orthodontics and Dentofacial Orthopedics Dentistry in Columbus, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

6440 Bradley Park Dr
Columbus, GA 31904-3082
Phone: (706) 323-7217
Fax: (706) 324-4982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 6870 (GA)

Record details

NPI number1962420646
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MSD , PC
Sole proprietorYes
NPI enumeratedJuly 18, 2006
Last updated in NPPESJuly 8, 2007
Mailing address6440 Bradley Park Dr, Columbus, GA 31904-3082

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