Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON HAROLD LUSTIG, DDS MD
ActiveJASON HAROLD LUSTIG, DDS MD is a Oral & Maxillofacial Surgery healthcare provider located in SHREVEPORT, Louisiana. NPI 1750347498 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · SHREVEPORT, LA
Registration Details
- NPI Number
- 1750347498
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2006 (20.275179691033 yrs)
- Last Updated
- Jul 24, 2007
- Licenses
-
5776 (LA)22D102219000 (NJ)050487 (NY)227864 (NY)
Practice Information
- Address
-
7600 FERN AVEBUILDING 1400SHREVEPORT, LA, 711055659Browse LA providers · Browse ZIP 71105
- Phone
- 3187975812
- Fax
- 3187970390
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DR. CEDRIC VARDIS LOUD | D.D.S. | 1699793737 |
| DR. BRIAN ROY SMITH | DDS | 1639191182 |
| JAMES WILLIAM SIKES JR. | DMD, MD | 1194731836 |
| DR. WILLIAM BRANTLEY GOYNE | DDS | 1326188145 |
| DR. WENDELL WAYNE NEELEY II | DMD, MD, MS | 1285806810 |
| DR. DAVID KYLE CLARK | DDS | 1548427693 |
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.