Individual
DR. JAMES DAVID LUSSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
204 WESLEY DR, KERRVILLE, TX 78028-5809
(830) 895-3494
(830) 896-3390
Mailing address
204 WESLEY DR, KERRVILLE, TX 78028-5809
(830) 895-3494
(830) 896-3390
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
20286
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
20286
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
20286
TX
Other
Enumeration date
04/04/2006
Last updated
08/26/2019
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