Jack R Lazer is a Dentist in Johnstown, Pennsylvania. Jack R Lazer practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jack R Lazer is 1255409280. The last update date is 2007-07-08.
Jack R Lazer's current location address is 105 Mccort Place, Johnstown, Pennsylvania. You can contact this provider via phone number 8142694404 and fax number 2142668668. The mailing address for Jack R Lazer is 105 Mccort Place, Johnstown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack R Lazer |
|---|---|
| Address | 105 Mccort Place, Johnstown, Pennsylvania |
| Phone Number | 8142694404 |
| Fax Number | 2142668668 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1255409280 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 105 Mccort Place |
|---|---|
| City | Johnstown |
| State | Pennsylvania (PA) |
| Post Code | 15904 |
| Phone Number | 8142694404 |
| Fax Number | 2142668668 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS021727L |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Jack R Lazer by the Centers for Medicare & Medicaid Services?
The Jack R Lazer has been issued the NPI (National Provider Identifier) 1255409280 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jack R Lazer's facilities are geographically located?
The facilities of Jack R Lazer are physically situated at the following location: 105 Mccort Place, Johnstown, PA, 15904.
What is Jack R Lazer's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jack R Lazer is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did Jack R Lazer receive its 1255409280 assignment from the Centers for Medicare & Medicaid Services?
The Jack R Lazer was assigned its 1255409280 on 2006-11-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jack R Lazer's details last updated?
The information pertaining to the Jack R Lazer, including its address, specialty, and other details, was most recently updated on 2007-07-08.