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

Dr. Jack R Lazer, DMD

Individual provider Dentist · NPI 1255409280

Dr. Jack R Lazer, DMD is a Dentist in Johnstown, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
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

105 McCort Pl
Johnstown, PA 15904-1303
Phone: (814) 269-4404
Fax: (814) 266-8668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS021727L (PA)

Record details

NPI number1255409280
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 30, 2006
Last updated in NPPESJuly 8, 2007
Mailing address105 McCort Place, Johnstown, PA 15904

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