Lane, Jonathan Daniel
Lane, Jonathan Daniel is an individual health care provider with primary practice located at 38717 38Th Street Dentac Credentials Office, Fort Gordon GA 30905-5660. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Lane, Jonathan Daniel can be contacted via phone (706) 787-6927.Contact Information
Primary practice address
38717 38Th Street Dentac Credentials Office
Fort Gordon GA 30905-5660
Phone: (706) 787-6927
Fax: (706) 787-2082
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | DS039289 | Pennsylvania |
Dental Providers / Periodontics | 1223P0300X | DS039289 | Pennsylvania |
Profile Details
NPI number | 1164779294 |
---|---|
LBN Legal business name | Lane, Jonathan Daniel |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 8th, 2012 |
Last updated | Jul 26th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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