Individual provider · Type 1 NPI

John Gasper Lazzara, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Jacksonville Beach, FL

NPI number 1417008558 Active

Practice location

4184 3rd St S
Jacksonville Beach, FL 32250-5833

Fax (904) 270-8755

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X4973 (LA)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN 18064 (FL)

Orthodontics and Dentofacial Orthopedics Dentistry: 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 related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1417008558

John Gasper Lazzara, DDS's National Provider Identifier is 1417008558, issued on Jan 16, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Jacksonville Beach, FL. The record was last updated on Oct 1, 2012.