Jeremy Russell Lustig in Keller - Orthodontics And Dentofacial Orthopedics
Jeremy Russell Lustig - NPI 1760562235
Jeremy Russell Lustig is a Orthodontics And Dentofacial Orthopedics in Keller, Texas. Jeremy Russell Lustig practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jeremy Russell Lustig is 1760562235. The last update date is 2007-07-08.
Jeremy Russell Lustig's current location address is Po Box 100, Keller, Texas. You can contact this provider via phone number 8175141717 and fax number 8175090625. The mailing address for Jeremy Russell Lustig is Po Box 100, Keller, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Russell Lustig |
|---|---|
| Address | Po Box 100, Keller, Texas |
| Phone Number | 8175141717 |
| Fax Number | 8175090625 |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1760562235 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 100 |
|---|---|
| City | Keller |
| State | Texas (TX) |
| Post Code | 762440100 |
| Phone Number | 8175141717 |
| Fax Number | 8175090625 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 20612 |
|
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Jeremy Russell Lustig?
The Jeremy Russell Lustig has been issued the NPI (National Provider Identifier) 1760562235 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jeremy Russell Lustig?
The Jeremy Russell Lustig is physically situated at Po Box 100, in the city of Keller, state of TX, with the postal code 762440100.
What is Jeremy Russell Lustig's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jeremy Russell Lustig is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.
On what date was the 1760562235 assigned to Jeremy Russell Lustig?
The Jeremy Russell Lustig was issued its 1760562235 on 2006-10-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Jeremy Russell Lustig's information last updated?
The Jeremy Russell Lustig's information was last updated on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN