Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andy Lazo, DMD

Individual provider General Practice Dentistry · NPI 1083457220

Andy Lazo, DMD is a General Practice Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3900 W Fullerton Ave
Chicago, IL 60647-2228
Phone: (770) 252-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.035212 (IL)

Record details

NPI number1083457220
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 13, 2024
Mailing address430 S Linden Ave, Westmont, IL 60559-2042

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