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Dr. David Paul Lustbader, DMD
Oral and Maxillofacial Surgery (Dentist) in Quincy, Massachusetts
NPI 1447212972

David Paul Lustbader is a Oral and Maxillofacial Surgery (Dentist) based in Quincy, MA and is specialized in Oral and Maxillofacial Surgery. David Paul Lustbader practices in Quincy, MA and has the professional credentials of DMD. The NPI Number for David Paul Lustbader is 1447212972 and holds a License No. 17663 (Massachusetts).

The current practice location address for David Paul Lustbader is 270 Quincy Ave, Quincy, MA and can be reached out via phone at 617-773-9500 and via fax at 617-773-2827.

Location: 270 Quincy Ave, Quincy, MA, 02169-8127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447212972
Provider Name
David Paul Lustbader
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
270 Quincy Ave, Quincy, MA, 02169-8127
Phone Number
617-773-9500
Fax Number
617-773-2827
Provider Enumeration Date
04/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
X06287 01 BCBS
100016 01 DELTA DENTAL
institution
Provider Business Practice Location Address Details
Address
270 Quincy Ave
City
Quincy
State
Massachusetts
Zip
02169-8127
Phone Number
617-773-9500
Fax Number
617-773-2827
person
Provider Business Mailing Address Details
Address
270 Quincy Ave
City
Quincy
State
Massachusetts
Zip
02169-8127
Phone Number
617-773-9500
Fax Number
617-773-2827
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
17663 (Massachusetts)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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