Thomas Gary Lucas is a Dentist in Speedway, Indiana. Thomas Gary Lucas practices all healthcare services and medical treatments related to Dentist. The NPI Number for Thomas Gary Lucas is 1154588960. The last update date is 2017-02-28.
Thomas Gary Lucas's current location address is 6211 West 30th Street, Speedway, Indiana. You can contact this provider via phone number 3172977475 and fax number 3172801442. The mailing address for Thomas Gary Lucas is 6211 West 30th Street, Speedway, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Gary Lucas |
|---|---|
| Address | 6211 West 30th Street, Speedway, Indiana |
| Phone Number | 3172977475 |
| Fax Number | 3172801442 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1154588960 |
|---|---|
| Provider Enumeration Date | 2008-05-20 |
| Last Updated Date | 2017-02-28 |
Provider Mailing Address Detail
| Address | 6211 West 30th Street |
|---|---|
| City | Speedway |
| State | Indiana (IN) |
| Post Code | 462243025 |
| Phone Number | 3172977475 |
| Fax Number | 3172801442 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12007556 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code assigned to Thomas Gary Lucas by the Centers for Medicare & Medicaid Services?
The Thomas Gary Lucas has been issued the NPI (National Provider Identifier) 1154588960, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Thomas Gary Lucas?
The Thomas Gary Lucas is physically situated at 6211 West 30Th Street, in the city of Speedway, state of IN, with the postal code 462243025.
What is the Thomas Gary Lucas's area of specialization and corresponding taxonomy classification?
The Thomas Gary Lucas's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date was the 1154588960 assigned to Thomas Gary Lucas?
The Thomas Gary Lucas was issued its 1154588960 on 2008-05-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Thomas Gary Lucas most recently updated or revised?
The information pertaining to Thomas Gary Lucas, including its address, specialty, and other relevant details, was last updated or revised on 2017-02-28.