IndividualActive
David Lustbader, D.M.D.
NPI 1447212972 · Oral and Maxillofacial Surgery (Dentist) · Quincy, MA
Provider details
- NPI number
- 1447212972
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.M.D.
- Sex
- Male
- License
- 17663 (MA)
Specialties & taxonomies
Dental Providers
Practice location
270 Quincy Ave
Quincy, MA 02169-8127
Phone: (617) 773-9500
Fax: (617) 773-2827
Approximate (ZIP-level) locationGet directions
Mailing address
270 Quincy Ave
Quincy, MA 02169-8127
Registry dates
- Enumerated
- 2006-04-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.