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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES JOSEAPH LUCERO, DDS

Deactivated

CHARLES JOSEAPH LUCERO, DDS is a General Dentistry healthcare provider located in KINGMAN, Arizona. NPI 1710988787 is deactivated in the NPPES registry. Verify at CMS.

General Dentistry · KINGMAN, AZ

This NPI has been deactivated. The record was deactivated on March 22, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1710988787
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2005 (0.63561643835616 yrs)
Last Updated
Jul 8, 2007
Deactivated
Mar 22, 2006
License
D4688 (AZ)

Practice Information

Address
1751 N STOCKTON HILL RD
STE# A
KINGMAN, AZ, 864016601
Browse AZ providers · Browse ZIP 86401
Phone
9287188668
Fax
9287182106
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in KINGMAN, AZ

Name Credential NPI
RONALD ANTHONY DICARLO II DMD 1942264445
DR. TIMOTHY WILLIAM MANGELSDORF 1619924669
DR. JAMES M. RANSDELL DDS 1356386676
DR. NATHANIEL URQUHART DMD 1760427967
DR. JASON W LOWRY D.D.S. 1679592695
DR. ROBERT ANDERSON DDS 1124034251
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.