Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lustig and Young Orthodontics

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1528825072

Lustig and Young Orthodontics is an Orthodontics and Dentofacial Orthopedics Dentistry in Azle, Texas. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1025 Boyd Rd Ste 100
Azle, TX 76020-2517
Phone: (817) 514-1717
Fax: (817) 704-4771
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1528825072
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFpds Lyo PLLC
Authorized official Jeremy Lustig — Owner · (817) 350-6500
Other names Lustig & Young Orthodontics
NPI enumeratedMarch 1, 2024
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024
Mailing address8450 Park Vista Blvd, Fort Worth, TX 76137-5731