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Contact Information

TATIANA O LUCAS, DDS
272 CROSS ROADS PLZ
MOUNT PLEASANT, PA15666
 Phone: 724-547-0690
 Fax: 724-547-1918
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for TATIANA O LUCAS · (Female)

NPI # 1114473576
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/26/2016
Last updated 06/17/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • PA License # DS041087
  • WV License # WV4232
  • PA Medicaid 1032153500002
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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