NPI 1043661028 · live from the CMS NPI Registry
Jamie Lazin, DMD, MS, MSD
Dentist, Orthodontics and Dentofacial Orthopedics in Indianapolis, IN. National Provider Identifier 1043661028, active.
NPI record
| NPI | 1043661028 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 11 E 58th St, Indianapolis, IN 46220 |
| Practice phone | 404-931-1576 |
| Enumerated | June 30, 2016 |
| Last updated | June 30, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12012549A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.