Provider Demographics
NPI:1013664168
Name:GRIEPENTROG, LANE
Entity type:Individual
Prefix:
First Name:LANE
Middle Name:
Last Name:GRIEPENTROG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LANE
Other - Middle Name:
Other - Last Name:STEINHAUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:323 LYNN DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-3611
Mailing Address - Country:US
Mailing Address - Phone:608-697-1031
Mailing Address - Fax:
Practice Address - Street 1:7004 MOORES LN
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-2905
Practice Address - Country:US
Practice Address - Phone:615-377-7777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-08
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TN125131223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program