Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd. in Crestwood - General Practice
Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd. - NPI 1174594378
Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd. is a General Practice in Crestwood, Illinois. Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd. is 1174594378. The last update date is 2016-12-08.
Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd.'s current location address is 4839 West Calsag Rd, Crestwood, Illinois. You can contact this provider via phone number 7085979055 and fax number 2165841062. The mailing address for Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd. is 4839 West Calsag Rd, Crestwood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd. |
|---|---|
| Address | 4839 West Calsag Rd, Crestwood, Illinois |
| Phone Number | 7085979055 |
| Fax Number | 2165841062 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST/OW |
|---|---|
| Authorized Official Name | Luckett A Michael |
| Credentials | DMD |
| Telephone Number | 7085979055 |
NPI Number Detail
| NPI Number | 1174594378 |
|---|---|
| Provider Enumeration Date | 2006-01-27 |
| Last Updated Date | 2016-12-08 |
Provider Mailing Address Detail
| Address | 4839 West Calsag Rd |
|---|---|
| City | Crestwood |
| State | Illinois (IL) |
| Post Code | 604454415 |
| Phone Number | 7085979055 |
| Fax Number | 2165841062 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19.019835 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd. by the Centers for Medicare & Medicaid Services?
The Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd. has been issued the NPI (National Provider Identifier) 1174594378, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd.'s physical address?
The Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd. is physically located at 4839 West Calsag Rd, in the city of Crestwood, IL, with the postal code 604454415.
What is Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd. is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd. receive its 1174594378 assignment from the Centers for Medicare & Medicaid Services?
The Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd. was assigned its 1174594378 by the Centers for Medicare & Medicaid Services on 2006-01-27.
As of what date were the details related to Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd. most recently updated or revised?
The information pertaining to Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd., including its address, specialty, and other relevant details, was last updated or revised on 2016-12-08.