Provider Demographics
NPI:1811195217
Name:LAZAR, STEVE HOWARD (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:HOWARD
Last Name:LAZAR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5731 SOUTH FORT APACHE ROAD
Mailing Address - Street 2:STE# 110
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148
Mailing Address - Country:US
Mailing Address - Phone:702-304-1442
Mailing Address - Fax:702-731-5557
Practice Address - Street 1:5731 SOUTH FORT APACHE ROAD
Practice Address - Street 2:STE# 110
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148
Practice Address - Country:US
Practice Address - Phone:702-304-1442
Practice Address - Fax:702-731-5557
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV44141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice