OrganizationActive
John Lazzara, DDS, PA
NPI 1245429604 · Orthodontics and Dentofacial Orthopedics Dentistry · Jacksonville Beach, FL
Provider details
- NPI number
- 1245429604
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- John Lazzara, President(904) 806-2238
- License
- DN 18064 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4184 3rd St S
Jacksonville Beach, FL 32250-5833
Phone: (904) 270-8750
Fax: (904) 270-8755
Street-level locationGet directions
Mailing address
4184 3rd St S
Jacksonville Beach, FL 32250-5833
Other names (DBA / former)
- Doing business as
- Lazzara Orthodontics
Registry dates
- Enumerated
- 2007-10-22
- Last updated
- 2007-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.