Whalio Doctors

NPI 1003800970

Brendan Matthew Lane, DDS

Practitioner Dentist Offutt Afb, NE

Practice location

Address
2501 Capehart Rd, Offutt Afb, NE 68113-1043
Phone
(402) 294-1165

Registered specialties (2)

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 052483 (NY)
General Practice Dentistry
Dental Providers Taxonomy 1223G0001X Licence 052483 (NY)

Registry record

NPI
1003800970
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Sep 2005
Record last updated
8 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.