DR. ROBERT DAVID LAZAROFF (NPI# 1942360482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942360482 |
| Entity Type | Individual |
| Full Name | DR. ROBERT DAVID LAZAROFF |
| Credential | DDS |
| Practice Address |
3017 New Castle Loop Myrtle Beach SC 29588 |
| Practice Telephone | 8432154343 |
| Practice Fax Number | 8432154344 |
| Mailing Telephone | 8432154343 |
| Mailing Fax Number | 8432154344 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
3712 | SC | Dental Providers |
| Street Address |
3017 NEW CASTLE LOOP |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819309 | Forrest Halsey Westley | Pharmacist | 3072 Dick Pond Rd. Suite 2, Myrtle Beach, SC 29588 | 2020-04-06 |
| 1588124176 | The Counseling Center of Sayebrook | Counselor | 106 Lansford Court Suite 202, Myrtle Beach, SC 29588 | 2019-03-21 |
| 1134631443 | Solid Foundations, LLC | Clinic/Center | 4325 Dick Pond Road, Suite E, Myrtle Beach, SC 29588 | 2017-10-26 |
| 1316496037 | Grand Strand Rehab and Nursing Center, LLC | Skilled Nursing Facility | 4452 Socastee Boulevard, Myrtle Beach, SC 29588 | 2016-09-22 |
| 1386092039 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1370 South Commons Drive, Suite 102, Myrtle Beach, SC 29588 | 2016-06-02 |
| 1114314531 | Allison Smith | Physical Therapy Assistant | 4870 Socastee Blvd, Myrtle Beach, SC 29588 | 2015-04-23 |
| 1760806160 | Myrtle Beach Physical Medicine & Rehab, LLC | Family Medicine | 4736 17 Bypass South, Myrtle Beach, SC 29588 | 2014-02-06 |
| 1801228499 | Robin Ruth Gause | Lactation Consultant, Non-RN | 510 Fairwood Lakes Ave, 14-c, Myrtle Beach, SC 29588 | 2013-08-06 |
| 1124386438 | Horace Earl Ferguson Jr. | Technician/Technologist | 4535 Dick Pond Road, A, Myrtle Beach, SC 29588 | 2012-04-25 |
| 1831463652 | Medeyecare, LLC | Technician/Technologist | 4335 Socastee Blvd, Unit A, Myrtle Beach, SC 29588 | 2012-02-24 |
| Find all providers in zip 29588 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649818048 | Safa Tahmasebi | Dentist | 481 Munn Rd Ste 100, Fort Mill, SC 29715-0014 | 2019-12-16 |
| 1336657386 | Candice Marie Vinson | Dentist | 1149 Oakland Market Rd, Mount Pleasant, SC 29466-8220 | 2018-01-11 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1831580620 | Bryan A Lara | Dentist | 110 Auston Woods Cir, Apt U, Easley, SC 29640-4301 | 2015-02-15 |
| 1497146906 | Palmetto Prosthodontics, LLC | Dentist | 145 Woodruff Place Cir, Simpsonville, SC 29681-3672 | 2015-02-05 |
| 1255631214 | Steven Gordon Lewis | Dentist | 481 Munn Rd, Suite 100, Fort Mill, SC 29715-8408 | 2010-10-25 |
| 1598929408 | Mayur Mahendra Patel | Dentist | 682 Johnnie Dodds Blvd, Suite 102, Mt Pleasant, SC 29464-3028 | 2008-07-10 |
| 1295999100 | Kenneth Steven Barrack | Dentist | 682 Johnnie Dodds Blvd Ste 102, Mt Pleasant, SC 29464-3028 | 2008-07-10 |
| 1487812327 | Virgil Vacarean | Dentist | 25 Clark Summit Dr Ste 100, Bluffton, SC 29910-4999 | 2008-05-28 |
| 1003086224 | Adam M Clark | Dentist | 1416 Ashley River Rd, Atlantic Aesthetics, Charleston, SC 29407-5306 | 2008-03-04 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29588 |
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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.