Dentalworks
LBN: Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd.
Dentalworks is an health care organization with primary practice located at 4839 West Calsag Rd #310, Crestwood IL 60445-4415. The organization recently has 7 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty.
Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd. can be contacted via phone (708) 597-9055, or through Luckett, Michael A via phone (708) 597-9055.
Contact Information
Primary practice address
4839 West Calsag Rd #310
Crestwood IL 60445-4415
Phone: (708) 597-9055
Fax: (216) 584-1062
Website:
Authorized official contact:
Name: Luckett, Michael A Doctor of Dental Medicine (DMD)
Phone: (708) 597-9055
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Dental Providers / Endodontics | 1223E0200X | ||
| Dental Providers / General Practice | 1223G0001X | 019.019835 | Illinois |
| Dental Providers / Pediatric Dentistry | 1223P0221X | ||
| Dental Providers / Periodontics | 1223P0300X | ||
| Dental Providers / Prosthodontics | 1223P0700X | ||
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X |
Profile Details
| NPI number | 1174594378 |
|---|---|
| LBN Legal business name | Michael A. Luckett D.M.D. & Associates (Rivercrest), Ltd. |
| DBA Doing business as | Dentalworks |
| Authorized official | Luckett, Michael A Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Dec 8th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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