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Dr. Jeremy Russell Lustig, DDS,MS,PA
Orthodontics and Dentofacial Orthopedic Dentist in Fort Worth, Texas
NPI 1760562235

Jeremy Russell Lustig is a Orthodontics and Dentofacial Orthopedic Dentist based in Fort Worth, TX and is specialized in Orthodontics and Dentofacial Orthopedics. Jeremy Russell Lustig practices in Fort Worth, TX and has the professional credentials of DDS,MS,PA. The NPI Number for Jeremy Russell Lustig is 1760562235 and holds a License No. 20612 (Texas).

The current practice location address for Jeremy Russell Lustig is 8450 Park Vista Blvd, Fort Worth, TX and can be reached out via phone at 817-514-1717 and via fax at 817-704-4771.

Location: 8450 Park Vista Blvd, Fort Worth, TX, 76137-5731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760562235
Provider Name
Jeremy Russell Lustig
Credential
DDS,MS,PA
Provider Entity Type
Individual
Gender
Male
Address
8450 Park Vista Blvd, Fort Worth, TX, 76137-5731
Phone Number
817-514-1717
Fax Number
817-704-4771
Provider Enumeration Date
10/17/2006
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
8450 Park Vista Blvd
City
Fort Worth
State
Texas
Zip
76137-5731
Phone Number
817-514-1717
Fax Number
817-704-4771
person
Provider Business Mailing Address Details
Address
8450 Park Vista Blvd
City
Fort Worth
State
Texas
Zip
76137-5731
Phone Number
817-514-1717
Fax Number
817-704-4771
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
20612 (Texas)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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