Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN GASPER LAZZARA, D.D.S.
Active Sole ProprietorDR. JOHN GASPER LAZZARA, D.D.S. is a Orthodontics healthcare provider located in JACKSONVILLE BEACH, Florida. NPI 1417008558 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · JACKSONVILLE BEACH, FL
Registration Details
- NPI Number
- 1417008558
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2007 (19.614608924682 yrs)
- Last Updated
- Oct 1, 2012
- Licenses
-
4973 (LA)DN 18064 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4184 3RD ST SJACKSONVILLE BEACH, FL, 322505833Browse FL providers · Browse ZIP 32250
- Phone
- 9042708750
- Fax
- 9042708755
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in JACKSONVILLE BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| DAVID RANDALL CARDEN | DMD | 1356351654 |
| DR. JOSHUA LEO GOLDKNOPF | D.D.S. | 1073760658 |
| DR. JASLEEN KAUR RAINA | D.D.S. | 1073740114 |
| SHAWNA DEGRANGE | — | 1841038916 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.