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

MICHAEL A. LUCKETT, DMD & ASSOCIATES (WESTERN

Active Organization

MICHAEL A. LUCKETT, DMD & ASSOCIATES (WESTERN is a General Dentistry organization located in CHICAGO, Illinois. NPI 1831169218 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · CHICAGO, IL

Registration Details

NPI Number
1831169218
Provider Type
Organization
NPI Issued
Jan 26, 2006 (20.363078420615 yrs)
Last Updated
Dec 28, 2011

Practice Information

Address
6153 SOUTH WESTERN AVENUE
CHICAGO, IL, 60636
Browse IL providers · Browse ZIP 60636
Phone
7738630129
Fax
2165841064
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
Endodontics
Additional Specialty
Pediatric Dentistry
Additional Specialty
Periodontology
Additional Specialty
Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.