Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON CURTIS LUCKETT
Active Sole ProprietorBRANDON CURTIS LUCKETT is a Orthodontics healthcare provider located in BOARDMAN, Ohio. NPI 1194141895 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · BOARDMAN, OH
Registration Details
- NPI Number
- 1194141895
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 5, 2014 (12.406811300745 yrs)
- Last Updated
- Mar 2, 2025
- Licenses
-
059651 (NY)DS043618 (PA)30.026080 (OH)30803 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6540 SOUTH AVEBOARDMAN, OH, 445123651Browse OH providers · Browse ZIP 44512
- Phone
- 3307586165
- Fax
- 3307585547
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
- Additional Specialty
- Orthodontics
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in BOARDMAN, OH
| Name | Credential | NPI |
|---|---|---|
| DR. DANIEL M DEANGELO | D.D.S. M.S. | 1104866359 |
| DR. STEPHEN MICHAEL BEGEZDA | DDS MSD | 1922265503 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.