Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY RUSSELL LUSTIG, D.D.S., M.S., P.A.
ActiveDR. JEREMY RUSSELL LUSTIG, D.D.S., M.S., P.A. is a Orthodontics healthcare provider located in FORT WORTH, Texas. NPI 1760562235 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · FORT WORTH, TX
Registration Details
- NPI Number
- 1760562235
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2006 (19.789220953453 yrs)
- Last Updated
- Feb 28, 2024
- License
-
20612 (TX)
Practice Information
- Address
-
8450 PARK VISTA BLVDFORT WORTH, TX, 761375731Browse TX providers · Browse ZIP 76137
- Phone
- 8175141717
- Fax
- 8177044771
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| ANDREW NEILL YOUNG | DDS, MS | 1740268085 |
| DR. ANURAG RAMESH PATEL | DMD, MSED | 1144297953 |
| DR. CHRISTOPHER WAYNE EDWARDS | DDS | 1487690137 |
| DR. CHRISTOPHER SOROKOLIT | D.D.S., M.S. | 1053483032 |
| DR. DANIEL J BEKISH | DMD,MS | 1346382454 |
| DR. NICHOLAS R RIDDER | DDS, MS | 1699809624 |
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.