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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEREMIAH EDILLOR JUSON, DMD

Active

DR. JEREMIAH EDILLOR JUSON, DMD is a Orthodontics healthcare provider located in LONG ISLAND CITY, New York. NPI 1265766315 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · LONG ISLAND CITY, NY

Registration Details

NPI Number
1265766315
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2009 (16.927157674943 yrs)
Last Updated
Mar 7, 2023
Licenses
DL11820 (MA)
DL11820 (MA)
059613 (NY)

Practice Information

Address
2301 QUEENS PLZ N STE C
LONG ISLAND CITY, NY, 11101
Browse NY providers · Browse ZIP 11101
Phone
5086798111
Primary Specialty
Orthodontics
1223X0400X
Additional Specialty
Orthodontics
Additional Specialty
Orthodontics

Other Orthodontics Providers in LONG ISLAND CITY, NY

Name Credential NPI
NHAT-THI THI VO 1437039641
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.