Dr. Jason H Lizzack, DMD
Dentist, General Practice in Fair Lawn, New Jersey
1407912538- Practice location
- 17-10 River RD Ste 4B, Fair Lawn, NJ 07410-1250
- Phone
- 201-797-7774
- Fax
- 201-797-0740
- Last updated
- July 9, 2007
Jason Howard Lizzack is a Dentist, General Practice based in Fair Lawn, NJ. Jason Howard Lizzack practices in Fair Lawn, NJ and has the professional credentials of DMD. The NPI Number for Jason Howard Lizzack is 1407912538 and holds a License No. 051014 (NY). The current practice location address for Jason Howard Lizzack is 17-10 River RD Ste 4B, Fair Lawn, NJ 07410-1250 and can be reached out via phone at 201-797-7774 and via fax at 201-797-0740.
Provider Profile Details
- NPI Number
- 1407912538
- Provider Name
- Jason Howard Lizzack
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 17-10 River RD Ste 4B, Fair Lawn, NJ 07410-1250
- Phone Number
- 201-797-7774
- Fax Number
- 201-797-0740
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 1, 2007
- Last Update Date
- July 9, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17-10 River RD Ste 4B
Fair Lawn, NJ 07410-1250 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-1250
- Phone Number
- 201-797-7774
- Fax Number
- 201-797-0740
Provider Business Mailing Address Details
- Address
- 17-10 River RD Ste 4B
Fair Lawn, NJ 07410-1250 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-1250
- Phone Number
- 201-797-7774
- Fax Number
- 201-797-0740
License Information
- License Number (1)
- 051014
- License State (1)
- NY
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- 22DI02166400
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jason H Lizzack, DMD?
The NPI number of Dr. Jason H Lizzack, DMD is 1407912538. It was assigned on January 1, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Jason H Lizzack, DMD?
Dr. Jason H Lizzack, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 051014.
Where does Dr. Jason H Lizzack, DMD practice?
The practice location is 17-10 River RD Ste 4B, Fair Lawn, NJ 07410-1250. The office can be reached at 201-797-7774 (phone) or 201-797-0740 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407912538 directly on the NPPES registry website.