Individual provider · Type 1 NPI
Jason Harold Lustig, DDS MD
Oral and Maxillofacial Surgery (Dentist) · Shreveport, LA
NPI number
1750347498
Active
Practice location
7600 Fern Ave, Building 1400
Shreveport, LA 71105-5659
Fax (318) 797-0390
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 5776 (LA) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 22D102219000 (NJ) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 050487 (NY) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 227864 (NY) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4 other providers at this address
- Arklatex Oral & Maxillofacial Surgery A Partnership of Professional deOral and Maxillofacial Surgery (Dentist) Shreveport, LA NPI 1003092545
- Fern Avenue Dental CenterDentist Shreveport, LA NPI 1114308582
- Holly C. Cook, DDSPediatric Dentistry Shreveport, LA NPI 1275680852
- Paul Collins Heilman, DDSGeneral Practice Dentistry Shreveport, LA NPI 1497875553
Other oral and maxillofacial surgery (dentist) providers in Shreveport
- Harish Tummala, MD, DMDOral and Maxillofacial Surgery (Dentist) Shreveport, LA NPI 1023632098
- Colten Ducote, DDS, MDOral and Maxillofacial Surgery (Dentist) Shreveport, LA NPI 1093122202
- Rachel A. Bishop, DDSOral and Maxillofacial Surgery (Dentist) Shreveport, LA NPI 1124443064
- James William Sikes Jr., DMD, MDOral and Maxillofacial Surgery (Dentist) Shreveport, LA NPI 1194731836
- Wendell Wayne Neeley Ii, DMD, MD, MSOral and Maxillofacial Surgery (Dentist) Shreveport, LA NPI 1285806810
- Ryan Majid Bukhari, DDSOral and Maxillofacial Surgery (Dentist) Shreveport, LA NPI 1306452057
- William Brantley Goyne, DDSOral and Maxillofacial Surgery (Dentist) Shreveport, LA NPI 1326188145
- Scott Belozer, DMDOral and Maxillofacial Surgery (Dentist) Shreveport, LA NPI 1497318596
About NPI 1750347498
Jason Harold Lustig, DDS MD's National Provider Identifier is 1750347498, issued on Apr 21, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Shreveport, LA. The record was last updated on Jul 24, 2007.