Lubczuk Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42568 Issued in CA

Legal business name

LUBCZUK DENTAL CORPORATION

Practice address

12 N 5TH Street
Redlands, CA 92373

Phone

(909) 798-7111

Fax

(909) 355-5862

NPI assigned

Oct 1, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrzej Lubczuk, DDS

Title

Dentist/President

Phone

(909) 489-1174

Specialties & licenses 1

Addresses

Other names 1

• BROOKSIDE DENTAL ASSOCIATES Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1629387147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N 5TH STREET",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92373",
            "telephone_number": "909-798-7111",
            "fax_number": "909-355-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N 5TH STREET",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92373",
            "telephone_number": "909-798-7111",
            "fax_number": "909-355-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBCZUK DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "LUBCZUK",
        "authorized_official_first_name": "ANDRZEJ",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "909-489-1174",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROOKSIDE DENTAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BROOKSIDE DENTAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eileen Lozano
• Luz Janneth Lozano
• Steven Gabriel Lozano
• Loan Thuy Lu
• Mei Lu, DDS, MS, PHD
• Linda Susan Lucas, MS
• Conrad Phillip Lucero, D.D.S.
• Jacob D Ludvik, PHYSICIAN ASSISTANT
• Chase Keegan Ludy, NURSE PRACTITIONER
• Alexandria Lugo, M.S.

• General Practice Dentistry in Redlands, CA
• Providers in Redlands, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.