NPI age
5 years
Enumerated 2020-07-17
● Active Type 2 · Organization
Susan Roberts Pediatric Dentistry Pllc
Susan Roberts Pediatric Dentistry Pllc is 1 of 1797 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Lustig
Ceo
Last NPPES update
2020-07-17
Source: monthly bulk 2026-05
How this organization compares
Across 1797 active dentist providers in Texas.
NPI age
5 years
↓ 9 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-07Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
5411 Basswood Blvd Ste 201
Fort Worth, TX 761374479
Mailing address
3575 Lone Star Cir Ste 310
Fort Worth, TX 761778908
Additional practice locations
1 secondary location on file with NPPES.
Location 2
12485 Timberland Blvd Ste 703
Fort Worth, TX 762446429
Authorized official
Jeremy Lustig, DDS
Ceo
📞 2143350862
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Practice context
Multi-site organization. 1 additional practice location on file.
Provyx · Custom healthcare lists
Need all 1797 Dentist providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.