Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JODIE LUSBY, DMD
Active Sole ProprietorDR. JODIE LUSBY, DMD is a Periodontology healthcare provider located in ST MATTHEWS, Kentucky. NPI 1033573415 is currently active in the NPPES registry. Verify at CMS.
Periodontology · ST MATTHEWS, KY
Registration Details
- NPI Number
- 1033573415
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2016 (10.367885415364 yrs)
- Last Updated
- Jun 23, 2019
- License
-
9779 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4010 DUPONT CIR STE 524ST MATTHEWS, KY, 402074888Browse KY providers · Browse ZIP 40207
- Phone
- 5028979417
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.