<Unavail>
LBN: Michael A. Luckett, Dmd & Associates (Western
<Unavail> is an health care organization with primary practice located at 6153 South Western Avenue , Chicago IL 60636. 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, Dmd & Associates (Western can be contacted via phone (773) 863-0129, or through Luckett, Michael via phone (773) 863-0129.
Contact Information
Primary practice address
6153 South Western Avenue
Chicago IL 60636
Phone: (773) 863-0129
Fax: (216) 584-1064
Website:
Authorized official contact:
Name: Luckett, Michael Doctor of Dental Medicine (DMD)
Phone: (773) 863-0129
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Dental Providers / Endodontics | 1223E0200X | ||
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | ||
| Dental Providers / Periodontics | 1223P0300X | ||
| Dental Providers / Prosthodontics | 1223P0700X | ||
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X |
Profile Details
| NPI number | 1831169218 |
|---|---|
| LBN Legal business name | Michael A. Luckett, Dmd & Associates (Western |
| DBA Doing business as | <Unavail> |
| Authorized official | Luckett, Michael Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Dec 28th, 2011 - about 15 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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