Most Relevant Information
Provider Data
| NPI Number: | 1003800970 |
| Provider Name: | BRENDAN MATTHEW LANE DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 052483 |
Most Important Dates
| Enumeration Date: | 09/07/2005 |
| Last Updated: | 07/08/2024 |
Provider Practice Location
2501 CAPEHART RD
OFFUTT AFB
NE
681131043
Practice Location Phone/Fax
| Phone: | 4022941165 |
| Fax: |
Provider Mailing Location
2501 CAPEHART RD
OFFUTT AFB
NE
681131043
Provider Mailing Phone/Fax
| Phone: | 4022941165 |
| Fax: |