Individual provider · Type 1 NPI

Jonathan Lane, DDS

General Practice Dentistry · Austin, TX

NPI number 1104288455 Active

Practice location

1901 W William Cannon Dr Ste 137
Austin, TX 78745-5327

Call (765) 749-7264 Map

Fax (512) 441-1799

Mailing address

8505 Kansas River Dr
Austin, TX 78745-8092

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X32805 (TX)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1104288455

Jonathan Lane, DDS's National Provider Identifier is 1104288455, issued on Mar 25, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Austin, TX. The record was last updated on Apr 23, 2021.