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Jonathan Lane, DMD
NPI 1164779294 · on the registry since 2012
Practice
- Address
- 38717 38th Street
Dentac Credentials Office
Fort Gordon, GA 30905 - Phone
- (706) 787-6927
- Fax
- (706) 787-2082
Registry record
- Primary taxonomy
- Periodontics
1223P0300X
- Also registered as
- Dentist
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-26
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 Georgia