| Jason M. Lane Dds, Llc | |
|
23375 W Beluga Ave Suite B Willow AK 99688 | |
| (907) 631-3521 | |
| Not Available |
| Full Name | Jason M. Lane Dds, Llc |
|---|---|
| Speciality | Dentist |
| Location | 23375 W Beluga Ave, Willow, Alaska |
| Authorized Official Name and Position | Jason Lane (OWNER/MANAGER) |
| Authorized Official Contact | 5202276521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason M. Lane Dds, Llc 2000 S Hygrade Cir Wasilla AK 99654-8561 Ph: (907) 631-3521 | Jason M. Lane Dds, Llc 23375 W Beluga Ave Suite B Willow AK 99688 Ph: (907) 631-3521 |
| NPI Number | 1912381658 |
|---|---|
| Provider Enumeration Date | 07/13/2015 |
| Last Update Date | 07/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912381658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 100868 (Alaska) | Primary |
Sunshine Community Health Center, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24091 W Long Lake Rd, Willow, AK 99688 Phone: 907-733-2273 Fax: 907-733-1735 |