person
Kenneth Jared Lusk, DDS
General Practice Dentistry in Farmington, New Mexico
NPI 1437164233

Kenneth Jared Lusk is a General Practice Dentistry based in Farmington, NM and is specialized in General Practice. Kenneth Jared Lusk practices in Farmington, NM and has the professional credentials of DDS. The NPI Number for Kenneth Jared Lusk is 1437164233 and holds a License No. DD1834 (New Mexico).

The current practice location address for Kenneth Jared Lusk is 204 N Auburn Ave, Farmington, NM and can be reached out via phone at 505-325-8401 and via fax at 505-325-8705.

Location: 204 N Auburn Ave, Farmington, NM, 87401-8412
person
Provider Profile Details
NPI Number
1437164233
Provider Name
Kenneth Jared Lusk
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
204 N Auburn Ave, Farmington, NM, 87401-8412
Phone Number
505-325-8401
Fax Number
505-325-8705
Provider Enumeration Date
07/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NM008392 01 NM BLUECROSS BLUESHIELD
891069 01 NM UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
204 N Auburn Ave
City
State
Zip
87401-8412
Phone Number
505-325-8401
Fax Number
505-325-8705
person
Provider Business Mailing Address Details
Address
204 N Auburn Ave
City
State
Zip
87401-8412
Phone Number
505-325-8401
Fax Number
505-325-8705
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
DD1834 (New Mexico)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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