CL DDS 2 PA – Pediatric Dentistry, NPI 1962010652

CL DDS 2 PA is a healthcare provider. based in Ft lauderdale, Florida. specializing in Pediatric Dentistry. The NPI Number for CL DDS 2 PA is 1962010652

Main info

Organization
Name
CL DDS 2 PA
NPI
1962010652
Phone
(443) 235-2403
Address
3320 SW 58TH ST
Authorized Official
DR. CRAIG LUSTMAN OWNER DDS
Enumeration Date
19 July 2020
Last Update Date
19 July 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

Provider Addresses for CL DDS 2 PA

  • 3320 SW 58TH ST

    FT LAUDERDALE, FL 333126365

    Phone: (443) 235-2403

    Type: Mailing

  • 9156 WILES RD

    CORAL SPRINGS, FL 330671999

    Phone: (954) 255-2787

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33312)

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Reviews

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Frequently asked questions

How is CL DDS 2 PA identified in CMS data?
CMS-hosted NPPES data lists CL DDS 2 PA with NPI 1962010652.
Is CL DDS 2 PA still practicing?
CL DDS 2 PA is currently listed as active in the public NPI registry.
What is CL DDS 2 PA's specialty?
The listing groups CL DDS 2 PA with Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
Where is CL DDS 2 PA based?
CL DDS 2 PA is tied to Ft Lauderdale, Florida in the data we show; additional addresses may exist on the full record.
Is the information about CL DDS 2 PA up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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