Active NPI
Ed Lazer DDS PC
- General Practice Dentistry
- Fallston, MD
National Provider Identifier
1740576552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11199
- Legal business name
- ED LAZER DDS PC
- Practice address
- 1810 Bel Air Rd
Suite 201
Fallston, MD 21047-2729 - Phone
- (410) 877-7900
- Fax
- (410) 877-8455
- NPI assigned
- Jun 21, 2011
- Last updated
- Jun 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Taylor Shoffner
- Title
- Director of Operations
- Phone
- (410) 356-7799
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11199 | MD | Primary |
Addresses
Primary practice location
1810 Bel Air Rd
Suite 201
Fallston, MD 21047-2729
Mailing address
1810 Bel Air Rd
Suite 201
Fallston, MD 21047-2729
Phone (410) 877-7900
National Provider Directory
National Provider DirectoryLocations
1810 Bel Air Rd
Ste 201
Fallston, MD 21047
Phone (410) 877-7900
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Fallston, MD
- NPI 1487348231
-
- General Practice Dentistry
- Baltimore, MD
- NPI 1144567900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308614400000",
"number": "1740576552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 BEL AIR RD",
"address_2": "SUITE 201",
"city": "FALLSTON",
"state": "MD",
"postal_code": "210472729",
"telephone_number": "410-877-7900",
"fax_number": "410-877-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 BEL AIR RD",
"address_2": "SUITE 201",
"city": "FALLSTON",
"state": "MD",
"postal_code": "210472729",
"telephone_number": "410-877-7900",
"fax_number": "410-877-8455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ED LAZER DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-21",
"last_updated": "2011-06-21",
"status": "A",
"authorized_official_last_name": "SHOFFNER",
"authorized_official_first_name": "TAYLOR",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "410-356-7799",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "11199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fallston, MD
- Dr. Daniel Stoltze, LLC (Fallston Eyecare)
- James Paul Drabo, DDS
- Drayer Physical Therapy of Maryland LLC
- Amy Dubiel, BC ACA
- Erica L East, FNP-C
- Eleven : Eleven Wellness, LLC
- Eq & Associates LLC (Always Best Care Upper Chesapeake)
- Sherri Lynn Fahr, CERTIFIED FS DOULA
- Francis Graham Fallon, MD
- Fallston Dental Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.