DR. JONATHAN LANE, DMD
Dentist - Periodontics
Active
Individual
NPI: 1164779294
Practice Address
38717 38TH STREETDENTAC CREDENTIALS OFFICE
Fort Gordon, GA 30905
Phone: (706) 787-6927
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | DS039289 (PA) |
| Dentist - Periodontics | 1223P0300X | Yes | DS039289 (PA) |
Frequently Asked Questions
NPI 1164779294 is the National Provider Identifier for DR. JONATHAN LANE, DMD, a Dentist - Periodontics provider located in Fort Gordon, GA. This NPI was enumerated on August 8, 2012.
DR. JONATHAN LANE, DMD practices at 38717 38TH STREET, DENTAC CREDENTIALS OFFICE, Fort Gordon, GA 30905.
Quick Facts
- NPI
- 1164779294
- Type
- Individual
- Enumerated
- Aug 8, 2012
- Last Updated
- Jul 26, 2016
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