John Gasper Lazzara in Jacksonville Beach - Orthodontics And Dentofacial Orthopedics
John Gasper Lazzara - NPI 1417008558
John Gasper Lazzara is a Orthodontics And Dentofacial Orthopedics in Jacksonville Beach, Florida. John Gasper Lazzara practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for John Gasper Lazzara is 1417008558. The last update date is 2012-10-01.
John Gasper Lazzara's current location address is 4184 3rd St S, Jacksonville Beach, Florida. You can contact this provider via phone number 9042708750 and fax number 9042708755. The mailing address for John Gasper Lazzara is 4184 3rd St S, Jacksonville Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Gasper Lazzara |
|---|---|
| Address | 4184 3rd St S, Jacksonville Beach, Florida |
| Phone Number | 9042708750 |
| Fax Number | 9042708755 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1417008558 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2012-10-01 |
Provider Mailing Address Detail
| Address | 4184 3rd St S |
|---|---|
| City | Jacksonville Beach |
| State | Florida (FL) |
| Post Code | 322505833 |
| Phone Number | 9042708750 |
| Fax Number | 9042708755 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 4973 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the John Gasper Lazzara's unique identification number?
The John Gasper Lazzara has been assigned the NPI (National Provider Identifier) Number 1417008558 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where John Gasper Lazzara's facilities are geographically located?
The facilities of John Gasper Lazzara are physically situated at the following location: 4184 3Rd St S, Jacksonville Beach, FL, 322505833.
What is John Gasper Lazzara's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Gasper Lazzara is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.
When did John Gasper Lazzara receive its 1417008558 assignment?
The John Gasper Lazzara was assigned its 1417008558 on 2007-01-16, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding John Gasper Lazzara, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Gasper Lazzara, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-01.
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