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Active NPI 1073873162 Individual Practitioner Female Practitioner

Dr. Amanda Brannan Lazo , DDS

Dentist - General Practice • Charlottesville, VA

Professional Overview & Biography Verified Profile Summary

Dr. Amanda Lazo, DDS is a registered healthcare professional specializing in Dentist - General Practice in Charlottesville, VA. Practice services are available at 895 RIO EAST CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

895 Rio East Ct

Charlottesville, VA 229018004

Telephone 4348175437
Associated Practice Facility / Clinic
🏢 Kathryn A. Cook,d.d.s. Facility NPI 1891924239

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Charlottesville, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
71 Specialists

Practicing in Charlottesville, VA (3535 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 VA 0401415059

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Shadia Michael , DDS

Dentist - General Practice

NPI 1568598035

Doctor of Dental Surgery

NPI 1659613800

Doctor of Dental Surgery

NPI 1841370566

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2016

Registered at 895 RIO EAST CT, CHARLOTTESVILLE, VA 229018004 (Tel: 4348175437)

📍
Updated Business Mailing Address June 09, 2016

Registered at 2536 W SIMMS BLVD, TAMPA, FL 336095313 (Tel: 8135469810)

👤
Provider Name / Credentials Updated June 09, 2016

Recorded as AMANDA LAZO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2016

Dentist (License #0401415059 in VA)

🟢
Initial NPI Registration & Enumeration May 22, 2012

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: 1073873162
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2012
Last Update: June 09, 2016
Sole Proprietor: Yes

Mailing Address

2536 W Simms Blvd

Tampa, FL 336095313

Phone: 8135469810

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.