David Paul Lustbader in Quincy - Oral And Maxillofacial Surgery
David Paul Lustbader - NPI 1447212972
David Paul Lustbader is a Oral And Maxillofacial Surgery in Quincy, Massachusetts. David Paul Lustbader practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for David Paul Lustbader is 1447212972. The last update date is 2007-07-08.
David Paul Lustbader's current location address is 270 Quincy Ave, Quincy, Massachusetts. You can contact this provider via phone number 6177739500 and fax number 6177732827. The mailing address for David Paul Lustbader is 270 Quincy Ave, Quincy, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Paul Lustbader |
|---|---|
| Address | 270 Quincy Ave, Quincy, Massachusetts |
| Phone Number | 6177739500 |
| Fax Number | 6177732827 |
| Sole Proprietor | X |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1447212972 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 270 Quincy Ave |
|---|---|
| City | Quincy |
| State | Massachusetts (MA) |
| Post Code | 21698127 |
| Phone Number | 6177739500 |
| Fax Number | 6177732827 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 17663 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| X06287 | BCBS | ||
| 100016 | DELTA DENTAL |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David Paul Lustbader by the Centers for Medicare & Medicaid Services?
The David Paul Lustbader has been issued the NPI (National Provider Identifier) 1447212972 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of David Paul Lustbader?
The David Paul Lustbader is situated at 270 Quincy Ave, in the city of Quincy, state of MA, with the zip code 21698127.
What is the David Paul Lustbader's specialty and taxonomy code?
The David Paul Lustbader's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date did the David Paul Lustbader receive the assignment of its 1447212972 from the Centers for Medicare & Medicaid Services?
The David Paul Lustbader was issued its 1447212972 by the Centers for Medicare & Medicaid Services on 2006-04-03.
As of what date were the David Paul Lustbader's details last updated?
The information pertaining to the David Paul Lustbader, including its address, specialty, and other details, was most recently updated on 2007-07-08.