LUCAS MARZULLO MENDES DMD
NPI 1750252136
Dentist - Orthodontics and Dentofacial Orthopedics in Waco, TX

Active since September 17, 2025
5201 BOSQUE BLVD STE 200, WACO, TX 76710(254) 261-6363 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lucas Marzullo Mendes Dmd NPPES

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

LUCAS MARZULLO MENDES DMD (NPI 1750252136) is an individual orthodontics and dentofacial orthopedics provider in Waco, Texas, licensed in Texas (42145) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1750252136
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameLUCAS MARZULLO MENDESCredential: DMD
Location Address5201 BOSQUE BLVD STE 200Waco, TX 76710-4676
Mailing Address5201 Bosque Blvd Ste 200Waco, TX 76710-4676 · (254) 261-6363
Sole ProprietorYes
Enumeration DateSeptember 17, 2025
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
NPI 1750252136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in TX · 42145 Licensed in VA · 0401419719
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.
5201 BOSQUE BLVD STE 200, Waco, TX 76710

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
5201 BOSQUE BLVD STE 200
WACO, TX 76710
Student in an Organized Health Care Education/Training Program
5201 BOSQUE BLVD STE 200
WACO, TX 76710
Dentist
5201 BOSQUE BLVD STE 200
WACO, TX 76710

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 Lucas Marzullo Mendes's NPI number?

The NPI number for Lucas Marzullo Mendes is 1750252136. It was assigned to this individual provider in the NPPES registry on September 17, 2025.

Where is Lucas Marzullo Mendes located?

Lucas Marzullo Mendes practices at 5201 Bosque Blvd Ste 200, Waco, TX 76710. The listed phone number is (254) 261-6363.

What is Lucas Marzullo Mendes'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 Lucas Marzullo Mendes was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.