JACK R. LAZER, D.M.D., P.C.
NPI 1194890418
Dentist - General Practice in Johnstown, PA

Q: What is Jack R. Lazer, D.M.D., P.C.'s NPI number?

The NPI number for Jack R. Lazer, D.M.D., P.C. is 1194890418. It was assigned to this organization in the NPPES registry on November 21, 2006.

Q: What is Jack R. Lazer, D.M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since November 21, 2006

105 MCCORT PLACE, JOHNSTOWN, PA 15904(814) 269-4404(814) 266-8668 Get Directions Write a Review

NPPES record last updated: March 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jack R. Lazer, D.m.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK R. LAZER, D.M.D., P.C. (NPI 1194890418) is a healthcare organization registered as a general practice in Johnstown, Pennsylvania and active in the NPI registry since November 2006. The organization lists Tracy L. Croyle, Secretary/ins. Billing, as its authorized official.

NPPES Registry Identity

NPI1194890418

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameJACK R. LAZER, D.M.D., P.C.

Location Address105 MCCORT PLACEJohnstown, PA 15904

Mailing Address105 Mccort PlaceJohnstown, PA 15904 · (814) 269-4404 · Fax (814) 266-8668

Phone(814) 269-4404

Fax(814) 266-8668

Organization SubpartNo

Authorized OfficialTracy L. CroyleSecretary/ins. Billing · (814) 269-4404

Enumeration DateNovember 21, 2006

Last NPPES UpdateMarch 29, 2012

✔ NPI 1194890418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in PA · DS021727L✔ Licensed in PA · DS023637L

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License DS021727L (PA)

105 MCCORT PLACE, Johnstown, PA 15904

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack R. Lazer, D.M.D., P.C.'s NPI number?

The NPI number for Jack R. Lazer, D.M.D., P.C. is 1194890418. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is Jack R. Lazer, D.M.D., P.C. located?

Jack R. Lazer, D.M.D., P.C. is located at 105 Mccort Place, Johnstown, PA 15904. The listed phone number is (814) 269-4404.

What is Jack R. Lazer, D.M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jack R. Lazer, D.M.D., P.C. accept?

Health plans from UnitedHealthcare list Jack R. Lazer, D.M.D., P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack R. Lazer, D.M.D., P.C. was last updated on March 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.