Mba Dental Office PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MBA DENTAL OFFICE PC

Practice address

3034 W Devon Ave
Ste #202
Chicago, IL 60659

Phone

(773) 973-2550

Fax

(773) 973-2550

NPI assigned

Jun 30, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Maureen Lazar, DDSNPI 1699906479

Title

Dentist

Phone

(773) 973-2550

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maureen Lazar, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1699906479
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1174785273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3034 W DEVON AVE",
            "address_2": "STE #202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60659",
            "telephone_number": "773-973-2550",
            "fax_number": "773-973-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3034 W DEVON AVE",
            "address_2": "STE #202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60659",
            "telephone_number": "773-973-2550",
            "fax_number": "773-973-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBA DENTAL OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-973-2550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Mazzone, LCSW
• Paul Andrew Mazzorana, D.C.
• Jennifer Mazzulli, DNP, PMHNP-BC
• Lisa C. Mazzullo, M.D.
• MB Clinical Psychology & Consulting, LLC
• Benjamin Mba, MD
• Dondra O Mbachu, AUD.
• Ephraim Mbachu
• Michael Mbagwu
• Kamana Esther Mbekeani, M.D

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.