Jonathan D. Lane, DMD
Periodontics · Fort Gordon, GA
UnclaimedDMDNPI 1164779294
- Primary taxonomy
- 1223P0300X
- Enumerated
- 2012-08-08
- Practice location
- Fort Gordon, GA
- Last NPPES update
- 2016-07-26
State licenses
- PA · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.