Jonathan Lane, DDS

NPI 1104288455 · on the registry since 2016 · sole proprietor

Practice

Address: 1901 W William Cannon Dr Ste 137
Austin, TX 78745
Phone: (765) 749-7264
Fax: (512) 441-1799
Organisation at this address: Harold D Lewis Do Pa
B&P Dental Entities Llc
Spine Institute Of Austin, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Also registered as: 390200000X
Licence states on file: TX, NULL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-04-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas