DR. GARY MARK LAZAROFF (NPI# 1720101959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720101959 |
| Entity Type | Individual |
| Full Name | DR. GARY MARK LAZAROFF |
| Credential | DMD |
| Practice Address |
257 Wayland Avenue Providence RI 02906 |
| Practice Telephone | 4012721380 |
| Practice Fax Number | 4012721387 |
| Mailing Telephone | 4012721380 |
| Mailing Fax Number | 4012721387 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
1815 | RI | Dental Providers |
| Street Address |
257 WAYLAND AVENUE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457874059 | White Pine Endodontics PC | Dentist | 169 N Gateway Dr Ste 200, Providence, UT 84332-9516 | 2017-07-25 |
| 1679634109 | Hodosh Dental Associates, Inc. | Dentist | 243 Elmwood Ave, Providence, RI 02907-1547 | 2006-12-12 |
| 1518906965 | East Side Endodontics | Dentist | 130 Waterman St, Providence, RI 02906-2010 | 2006-06-04 |
| 1316086218 | Janet S Tanzi | Dentist | 130 Waterman St, Providence, RI 02906 | 2007-02-06 |
| 1245378744 | Douglas B Kraut | Dentist | 130 Waterman St, Providence, RI 02906 | 2007-02-05 |
| 1730227224 | Edwin Stephen Mehlman | Dentist | 130 Waterman St, Providence, RI 02906 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932244076 | Mellion & Cappuccino, Inc. | Dentist | 265 Jefferson Blvd, Warwick, RI 02888-3823 | 2007-02-20 |
| 1275694218 | Ocean State Endodontics | Dentist | 1145 Reservoir Avenue, Suite 225, Cranston, RI 02920-6000 | 2006-12-13 |
| 1700864931 | Diane L Doyle | Dentist | 1173 Whipple St, Newport, RI 02841-1632 | 2006-01-06 |
| 1194215160 | Social Street Dental | Dentist | 515 Social St, Woonsocket, RI 02895-2043 | 2018-05-15 |
| 1750711420 | Advanced Care Endodontics Inc | Dentist | 31 King Charles Dr, Portsmouth, RI 02871-1448 | 2013-11-18 |
| 1811210024 | Advanced Care Endodontics Inc | Dentist | 31 King Charles Dr, Portsmouth, RI 02871-1365 | 2010-03-03 |
| 1457685349 | Dental Associates of Cumberland, LLC | Dentist | 490 High St, Cumberland, RI 02864-7644 | 2009-09-24 |
| 1174790539 | Steven F. Pinto | Dentist | 31 King Charles Dr, Portsmouth, RI 02871-1365 | 2008-05-14 |
| 1780858639 | Jefferson Dental Associates, L.t.d. | Dentist | 222 Jefferson Blvd, Warwick, RI 02888-3855 | 2008-04-22 |
| 1477726800 | Rodney Peter Thomas | Dentist | 878 Newport Ave, C/o Dr. Ganim, Pawtucket, RI 02861-2642 | 2008-04-07 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.