Jack R. Lazer, D.M.D., P.C. in Johnstown - General Practice

Jack R. Lazer, D.M.D., P.C. - NPI 1194890418

Jack R. Lazer, D.M.D., P.C. is a General Practice in Johnstown, Pennsylvania. Jack R. Lazer, D.M.D., P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack R. Lazer, D.M.D., P.C. is 1194890418. The last update date is 2012-03-29.

Jack R. Lazer, D.M.D., P.C.'s current location address is 105 Mccort Place, Johnstown, Pennsylvania. You can contact this provider via phone number 8142694404 and fax number 8142668668. The mailing address for Jack R. Lazer, D.M.D., P.C. is 105 Mccort Place, Johnstown, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jack R. Lazer, D.M.D., P.C.
Address 105 Mccort Place, Johnstown, Pennsylvania
Phone Number 8142694404
Fax Number 8142668668
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SECRETARY/
Authorized Official Name Croyle L. Tracy
Telephone Number 8142694404

NPI Number Detail

NPI Number 1194890418
Provider Enumeration Date 2006-11-21
Last Updated Date 2012-03-29

Provider Mailing Address Detail

Address 105 Mccort Place
City Johnstown
State Pennsylvania (PA)
Post Code 15904
Phone Number 8142694404
Fax Number 8142668668

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DS023637L
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Jack R. Lazer, D.M.D., P.C.

What is the unique identification code assigned to Jack R. Lazer, D.M.D., P.C. by the Centers for Medicare & Medicaid Services?

The Jack R. Lazer, D.M.D., P.C. has been issued the NPI (National Provider Identifier) 1194890418. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jack R. Lazer, D.M.D., P.C. is located?

The Jack R. Lazer, D.M.D., P.C. is situated at the following address: 105 Mccort Place, Johnstown, PA, 15904.

What is Jack R. Lazer, D.M.D., P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Jack R. Lazer, D.M.D., P.C.'s area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1194890418 to Jack R. Lazer, D.M.D., P.C.?

The Centers for Medicare & Medicaid Services assigned the 1194890418 to Jack R. Lazer, D.M.D., P.C. on 2006-11-21.

As of what date were the details pertaining to Jack R. Lazer, D.M.D., P.C. last refreshed?

The information related to the Jack R. Lazer, D.M.D., P.C., including its address, specialty, and other relevant details, was last updated on 2012-03-29.

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