Jason Harold Lustig, DDSMD
Jason Harold Lustig, DDSMD is a Maxillofacial Surgery in Shreveport, Louisiana. Graduated from Baylor College of Dentistry/Texas A&m University in 1997, 29 years ago. Practices with Arklatex Oral and Maxillofacial Surgery a Partnership of Professional, a 4-clinician group and accepts Medicare assignment. Licensed in Louisiana, New Jersey and New York.
- Years since qualifying
- 29
- Trained at
- Baylor College of Dentistry/Texas A&m University
- Licensed in
- LA, NJ, NY
- In the registry since
- 2006
- Specialties on file
- 4
Practice location Address checks out
7600 Fern Ave Bldg 1400Shreveport, LA 71105-5659
Phone: (318) 797-5812
Fax: (318) 797-0390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 5776 (LA) |
|---|---|
| Oral and Maxillofacial Surgery (Dentist) | Taxonomy 1223S0112X · Licence 22D102219000 (NJ) |
| Oral and Maxillofacial Surgery (Dentist) | Taxonomy 1223S0112X · Licence 050487 (NY) |
| Oral and Maxillofacial Surgery (Dentist) | Taxonomy 1223S0112X · Licence 227864 (NY) |
Record details
| NPI number | 1750347498 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDSMD |
| Sole proprietor | No |
| NPI enumerated | April 21, 2006 |
| Last updated in NPPES | July 24, 2007 |
Medicare enrollment
| Medicare specialty | MAXILLOFACIAL SURGERY |
|---|---|
| Also practises | ORAL SURGERY |
| Medical school | BAYLOR COLLEGE OF DENTISTRY/TEXAS A&M UNIVERSITY |
| Graduated | 1997 (29 years in practice) |
| Group practice | Arklatex Oral And Maxillofacial Surgery A Partnership Of Professional — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Shreveport
-
Dr. Walter Joseph James, DDS, MD
915 Shreveport Barksdale Hwy, Shreveport, LA 71105-2205 · (318) 865-0249
-
Dr. Dongsoo David Kim, DMD, MD
1501 Kings Hwy Dept OF Oral Surgery, Shreveport, LA 71103-4228 · (318) 813-2625
-
Wai Bun Liew
2508 Bert Kouns Industrial Loop Ste 403, Shreveport, LA 71118-3157 · (857) 347-1390
-
Ricardo Lugo, DDS, MD
1501 Kings Hwy Rm 530, Shreveport, LA 71103-4228 · (318) 675-6036
-
Joonho Phiyo
3719 Jewella Ave, Shreveport, LA 71109-4703 · (318) 758-9123
-
Shreveport Center for Oral and Facial Surgery, LLC
915 Shreveport Barksdale Hwy, Shreveport, LA 71105-2205 · (318) 865-0249
-
James William Sikes Jr., DMD, MD
6912 Fern Loop Ste A, Shreveport, LA 71105-4176 · (318) 585-7667
-
Dr. Brian Roy Smith, DDS
2125 E Bert Kouns Industrial Loop, Shreveport, LA 71105-5314 · (318) 797-5812