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Deactivated NPI 1801060876 Deactivated / Inactive NPI Male Practitioner

Dr. Jose' Antonio Lazo , DDS

Dentist - General Practice • Freeport, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jose' Lazo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 21, 2008
NPI Deactivation Date September 08, 2020
Total Practice Duration ~12 Years of Practice (2008 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Jose' Lazo, DDS was a registered Dentist - General Practice practicing in Freeport, NY. Throughout an active medical career spanning 12 years, Dr. Lazo provided care at the practice location at 186 ATLANTIC AVE until profile deactivation on 2020-09-08.

Practice Location & Contact Primary Location

Practice Address

186 Atlantic Ave

Freeport, NY 115204923

Telephone 5162231002
Fax 5162231001

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Freeport, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Freeport, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 035350

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 08, 2020

Record deactivated on September 08, 2020

NPI Profile Active July 11, 2014

NPI status registered as active in NPPES database

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Updated Practice Location July 11, 2014

Registered at 186 ATLANTIC AVE, FREEPORT, NY 115204923 (Tel: 5162231002)

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Updated Business Mailing Address July 11, 2014

Registered at 186 ATLANTIC AVE, FREEPORT, NY 115204923 (Tel: 5162231002)

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Provider Name / Credentials Updated July 11, 2014

Recorded as JOSE' LAZO, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2014

Dentist (License #035350 in NY)

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Initial NPI Registration & Enumeration April 21, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801060876
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2008
Last Update: July 11, 2014
Deactivation Date: September 08, 2020

Mailing Address

186 Atlantic Ave

Freeport, NY 115204923

Phone: 5162231002

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.