Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan Daniel Lane, DMD

Individual provider Dentist · NPI 1164779294

Dr. Jonathan Daniel Lane, DMD is a Dentist in Fort Gordon, Georgia. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

38717 38th Street Dentac Credentials Ofc
Fort Gordon, GA 30905-5660
Phone: (706) 787-6927
Fax: (706) 787-2082
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DS039289 (PA)
Dentist Taxonomy 122300000X · Licence DS039289 (PA)

Record details

NPI number1164779294
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 8, 2012
Last updated in NPPESJuly 26, 2016
Mailing addressHq, 618th Dental Company (As), Unit #15652, Bldg S-5403, Apo, AP 96205-5652

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