Lustbader, David Paul

Lustbader, David Paul is an individual health care provider with primary practice located at 270 Quincy Ave , Quincy MA 02169-8127. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Lustbader, David Paul can be contacted via phone (617) 773-9500.

Contact Information

Primary practice address
270 Quincy Ave Quincy MA 02169-8127
Fax: (617) 773-2827
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 17663 Massachusetts

Profile Details

NPI number 1447212972
LBN Legal business name Lustbader, David Paul
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jul 13th, 2026 - about 4 months 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 1447212972 NPPES
Other X06287 BCBS
Other 100016 BCBS

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