DR. JEREMIAH EDILLOR JUSON DMD
NPI 1265766315
Dentist - Orthodontics and Dentofacial Orthopedics in Long Island City, NY

Active since September 22, 2009
2301 QUEENS PLZ N STE C, LONG ISLAND CITY, NY 11101(508) 679-8111 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Jan 4, 2021 (2 updates tracked since 2021).

About Dr. Jeremiah Edillor Juson Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREMIAH EDILLOR JUSON DMD (NPI 1265766315) is an individual orthodontics and dentofacial orthopedics provider in Long Island City, New York, licensed in New York (059613) and active in the NPI registry since September 2009. He maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1265766315
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. JEREMIAH EDILLOR JUSONCredential: DMD
Location Address2301 QUEENS PLZ N STE CLong Island City, NY 11101
Mailing Address360 E 89th St Apt 5bNew York, NY 10128-5418 · (212) 803-3345
Sole ProprietorNo
Enumeration DateSeptember 22, 2009
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2021
NPI 1265766315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in NY · 059613 Licensed in MA · DL11820
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.
Also ListedDentistTaxonomy 122300000X · License DL11820 (MA)
2301 QUEENS PLZ N STE C, Long Island City, NY 11101

Secondary Practice Location 1

Location 1225 E 64th St Ste 1New York, NY 10065-6684 · Phone (212) 803-3345

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremiah Juson's NPI number?

The NPI number for Jeremiah Juson is 1265766315. It was assigned to this individual provider in the NPPES registry on September 22, 2009.

Where is Jeremiah Juson located?

Jeremiah Juson practices at 2301 Queens Plz N Ste C, Long Island City, NY 11101. The listed phone number is (508) 679-8111.

What is Jeremiah Juson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Jeremiah Juson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.