Bruce Robert Lustbader in Lawrenceville - Endodontics
Bruce Robert Lustbader - NPI 1104913516
Bruce Robert Lustbader is a Endodontics in Lawrenceville, New Jersey. Bruce Robert Lustbader practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Bruce Robert Lustbader is 1104913516. The last update date is 2007-07-08.
Bruce Robert Lustbader's current location address is 168 Franklin Corner Rd, Lawrenceville, New Jersey. You can contact this provider via phone number 6098962400 and fax number 6098962401. The mailing address for Bruce Robert Lustbader is 168 Franklin Corner Rd, Lawrenceville, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Robert Lustbader |
|---|---|
| Address | 168 Franklin Corner Rd, Lawrenceville, New Jersey |
| Phone Number | 6098962400 |
| Fax Number | 6098962401 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1104913516 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 168 Franklin Corner Rd |
|---|---|
| City | Lawrenceville |
| State | New Jersey (NJ) |
| Post Code | 8648 |
| Phone Number | 6098962400 |
| Fax Number | 6098962401 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 11759 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique identifier code issued to Bruce Robert Lustbader by the Centers for Medicare & Medicaid Services (CMS)?
The Bruce Robert Lustbader has been assigned the NPI (National Provider Identifier) 1104913516. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Bruce Robert Lustbader?
The Bruce Robert Lustbader is physically situated at 168 Franklin Corner Rd, in the city of Lawrenceville, state of NJ, with the postal code 8648.
What is the Bruce Robert Lustbader's specialty and taxonomy code?
The Bruce Robert Lustbader's specialty is Endodontics, and the corresponding taxonomy code is 1223E0200X.
On what date did the Bruce Robert Lustbader receive the assignment of its 1104913516 from the Centers for Medicare & Medicaid Services?
The Bruce Robert Lustbader was issued its 1104913516 by the Centers for Medicare & Medicaid Services on 2006-10-06.
When was the Bruce Robert Lustbader's information last updated?
The Bruce Robert Lustbader's information was last updated on 2007-07-08.