Susan Roberts Pediatric Dentistry Pllc

LBN: Susan Roberts Pediatric Dentistry Pllc
Susan Roberts Pediatric Dentistry Pllc is an health care organization with primary practice located at 5411 Basswood Blvd Ste 201 , Fort Worth TX 76137-4479. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Susan Roberts Pediatric Dentistry Pllc can be contacted via phone (817) 656-3999, or through Lustig, Jeremy via phone (214) 335-0862.

Contact Information

Primary practice address
5411 Basswood Blvd Ste 201 Fort Worth TX 76137-4479
Phone: (817) 656-3999
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lustig, Jeremy Doctor of Dental Surgery (DDS)
Phone: (214) 335-0862

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1306454178
LBN Legal business name Susan Roberts Pediatric Dentistry Pllc
DBA Doing business as
Authorized official Lustig, Jeremy Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2020
Last updated Jul 17th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers