Search › Louisiana › Oral and Maxillofacial Surgery (Dentist)
Jason Lustig, DDS MD
NPI 1750347498 · on the registry since 2006
Practice
- Address
- 7600 Fern Ave
Building 1400
Shreveport, LA 71105 - Phone
- (318) 797-5812
- Fax
- (318) 797-0390
- Organisation at this address
- Saramed Llc
Sleep Care Clinic Llc
Brain & Pain Care, Llc
Fern Avenue Dental Center
Michael E Woolbert Dds LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Oral and Maxillofacial Surgery (Dentist)
1223S0112X
- Also registered as
- Oral and Maxillofacial Surgery (Dentist)
Oral and Maxillofacial Surgery (Dentist)
Oral and Maxillofacial Surgery (Dentist) - Licence states on file
- LA, NJ, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana