Individual provider · Type 1 NPI

Jonathan Lucas

Orthodontics and Dentofacial Orthopedics Dentistry · Pembroke Pines, FL

NPI number 1861235962 Active

Practice location

10056 Pines Blvd
Pembroke Pines, FL 33024-6137

Mailing address

11141 SW 64th Ave
Pinecrest, FL 33156-4068

Other practice locations

  • 8430 W Broward Blvd, Plantation, FL 33324-2700 · (954) 475-1177

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN25980 (FL)

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 1861235962

Jonathan Lucas's National Provider Identifier is 1861235962, issued on Jun 17, 2024. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Pembroke Pines, FL. The record was last updated on Feb 10, 2026.