Janssen, Dustin Sean

Janssen, Dustin Sean is an individual health care provider with primary practice located at 7515 Quaker Ave Suite 100, Lubbock TX 79424-5308. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Janssen, Dustin Sean can be contacted via phone (806) 796-2408.

Contact Information

Primary practice address
7515 Quaker Ave Suite 100 Lubbock TX 79424-5308
Phone: (806) 796-2408
Fax: (806) 686-6246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 24601 Texas
Dental Providers / Pediatric Dentistry 1223P0221X DD3138 New Mexico

Profile Details

NPI number 1447486485
LBN Legal business name Janssen, Dustin Sean
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2009
Last updated Oct 15th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447486485 NPPES
Texas MEDICAID 3196933
Texas MEDICAID 319692502
Texas MEDICAID 319692501

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