LUSTIG AND YOUNG ORTHODONTICS
NPI 1609633155
Dentist - Orthodontics and Dentofacial Orthopedics in Haslet, TX

Active since March 01, 2024
570 FM 156 S STE 200, HASLET, TX 76052(817) 514-1717(817) 704-4771 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • Orthodontics and Dentofacial Orthopedics

About LUSTIG AND YOUNG ORTHODONTICS

This page provides the complete NPI Profile along with additional information for Lustig And Young Orthodontics, a provider established in Haslet, Texas operating as a Dentist, focusing in orthodontics and dentofacial orthopedics . The healthcare provider is registered in the NPI registry with number 1609633155 assigned on March 2024. The practitioner's primary taxonomy code is 1223X0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jeremy Lustig (Owner)

NPI
1609633155 Verify this NPI
Provider Name
LUSTIG AND YOUNG ORTHODONTICS
Entity Type
Organization
Location Address
570 FM 156 S STE 200 HASLET, TX 76052
Location Phone
(817) 514-1717
Location Fax
(817) 704-4771
Mailing Address
8450 PARK VISTA BLVD FORT WORTH, TX 76137
Mailing Phone
(817) 514-1717
Mailing Fax
(817) 704-4771
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-01-2024
Last Update Date
03-01-2024
Code Navigator

A dentist like Lustig And Young Orthodontics is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Orthodontics and Dentofacial Orthopedics

Taxonomy Code
1223X0400X
Type
Dental Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QD0000XAmbulatory Health Care Facilities

Clinic/Center
Dental

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEREMY LUSTIG

Authorized Official Title
OWNER
Authorized Official Phone
(817) 350-6500

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609633155, enumerated as an "organization" on March 01, 2024.

The provider is located at 570 FM 156 S STE 200 HASLET, TX 76052 and the phone number is (817) 514-1717.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.