Individual provider · Type 1 NPI

Lucas Marzullo Mendes, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Waco, TX

NPI number 1750252136 Active

Practice location

5201 Bosque Blvd Ste 200
Waco, TX 76710-4676

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	42145 (TX)
Orthodontics and Dentofacial Orthopedics Dentistry	1223X0400X	0401419719 (VA)

Orthodontics and Dentofacial Orthopedics Dentistry: 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 related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1750252136

Lucas Marzullo Mendes, DMD's National Provider Identifier is 1750252136, issued on Sep 17, 2025. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Waco, TX. The record was last updated on Feb 9, 2026.