Michael A Luckett Dmd & Associates (rivercrest), Ltd.

NPI 1174594378 - Dentist - 122300000X

NPI Details
NPI 1174594378
Enumeration Date 01/27/2006
Last Updated 03/27/2012
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name MICHAEL A MICHAEL
Position DENTIST/OWNER
Phone (708) 597-9055
Fax (216) 584-1062
Practice Location
4839 WEST CALSAG RD
#310
CRESTWOOD IL, 60445-4415, US
Phone (708) 597-9055
Fax (216) 584-1062
Business Location
PO BOX 860036
DENTALONE PARTNERS
MINNEAPOLIS MN, 55486, US
Phone (708) 597-9055
Fax (216) 584-1062
Toxanomy
Taxonomy Code 122300000X
License State
License Number
Remove 1174594378 NPI Number
 

According to our database, Michael A Luckett Dmd & Associates (rivercrest), Ltd. NPI is 1174594378, taxonomy code is 122300000X Michael A Luckett Dmd & Associates (rivercrest), Ltd. physically located at 4839 West Calsag Rd, Crestwood IL, 60445-4415. NPI Number 1033115704 has the healthcare provider type.

1174594378 NPI number is provided on an as is basis without warranty of any kind. 1174594378 is maintained by the National Plan & Provider Enumeration System. The contents of Michael A Luckett Dmd & Associates (rivercrest), Ltd. are for informational purposes only.