MEDICARE: DR. JOHN DENNIS LANE D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry		IL

General Provider Information

NPI Number	:	1770599607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN DENNIS LANE D.D.S.

Provider Business Mailing Address
First Line	:	206 TIMBERCREST DR
Second Line	:
City	:	SCHAUMBURG
State	:	IL
Zip	:	60193-1572
Country	:	US
Telephone Number	:	847-895-8343
Fax Number	:	847-895-8933

Provider Business Practice Location Address
First Line	:	724 E NORTHWEST HWY
Second Line	:
City	:	MOUNT PROSPECT
State	:	IL
Zip	:	60056-3442
Country	:	US
Telephone Number	:	847-392-4270
Fax Number	:	847-398-8420

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	04/19/2026

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