DR. PAUL DEAN LAZAZZERA (NPI# 1124345269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124345269 |
| Entity Type | Individual |
| Full Name | DR. PAUL DEAN LAZAZZERA |
| Credential | D.D.S. |
| Practice Address |
750 S State St Elgin IL 60123-7612 |
| Practice Telephone | 8477421040 |
| Practice Fax Number | 8474294948 |
| Mailing Telephone | 8477421040 |
| Mailing Fax Number | 8474294948 |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019014343 | IL | Dental Providers |
| Street Address |
750 S STATE ST |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-7612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942201090 | Philip E Mahalik | Pharmacist | 750 S State St, Rehab Bldg # 210, Elgin, IL 60123-7612 | 2005-08-10 |
| 1184086456 | Christopher Thomas Sullivan | Psychiatry & Neurology | 750 S State St, Elgin, IL 60123-7692 | 2016-03-24 |
| 1235465857 | Carolyn Marie Trelka-rojas | Internal Medicine | 750 S State St, Elgin, IL 60123-7612 | 2009-11-02 |
| 1619198918 | Changgeum Kang | General Practice | 750 S State St, Elgin, IL 60123-7612 | 2007-05-02 |
| 1972721686 | Pomposa L Crisostomo | Family Medicine | 750 S State St, Elgin, IL 60123-7612 | 2007-04-20 |
| 1407072960 | Keum Za Park | General Practice | 750 S State St, Elgin, IL 60123-7612 | 2007-04-17 |
| 1841416245 | Mohammad Sajid Hosain | Family Medicine | 750 S State St, Elgin, IL 60123-7612 | 2007-04-17 |
| 1467575969 | Arturo O Fogata | Psychiatry & Neurology | 750 S State St, Elgin, IL 60123-7612 | 2007-04-09 |
| 1982725172 | Satyanarayana Gaddipati | Family Medicine | 750 S State St, Elgin, IL 60123-7612 | 2007-04-03 |
| 1659496198 | Daniel Weir Hardy | Specialist | 750 S State St, Elgin, IL 60123-7612 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124682190 | Elgin Amazing Dental LLC | Dentist | 229 National St, Elgin, IL 60120-7816 | 2019-04-25 |
| 1205320702 | Nabeela Khan | Dentist | 795 Summit St Unit A, Elgin, IL 60120-4313 | 2018-06-18 |
| 1215433347 | Amanda Frankel | Dentist | 1640 Capital St Ste 500, Elgin, IL 60124-8078 | 2018-04-05 |
| 1336596493 | Anita Nepal Thapa | Dentist | 910 Lee Dildy Blvd, 260, Elgin, TX 78621 | 2016-05-18 |
| 1447658497 | Dalvina S Sharma | Dentist | 344 Shadow Hill Dr, Elgin, IL 60124-3815 | 2014-12-08 |
| 1548675358 | Kali Gray | Dentist | 1400 Division Street, Elgin, OR 97827 | 2014-07-01 |
| 1457792640 | Rubina D Nguyen | Dentist | 500 N Mclean Blvd Ste 102, Elgin, IL 60123-3275 | 2013-07-16 |
| 1548606841 | Elisha Mayes, Dds, PC | Dentist | 570 S. 8th Ave, Elgin, OR 97827 | 2013-05-14 |
| 1487902615 | Alan Merlin Polse | Dentist | 2000 Larkin Ave Suite 102, Elgin, IL 60123 | 2012-08-20 |
| 1659647535 | Bowes Dental Care | Dentist | 2375 Bowes Dental Care, Suite #200, Elgin, IL 60123 | 2012-03-26 |
| Find all providers in ELGIN | ||||
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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.