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Contact Information

MICHAEL A. LUCKETT D.M.D. & ASSOCIATES (RIVERCREST), LTD.
4839 WEST CALSAG RD
#310
CRESTWOOD, IL60445-4415
 Phone: 708-597-9055
 Fax: 216-584-1062
 Website:
Indicates primary specialty

NPI Profile & details for MICHAEL A LUCKETT DMD ASSOCIATES RIVERCREST LTD · (Female)

NPI # 1174594378
Status Active
Credentials
Entity Individual
Enumeration date 01/27/2006
Last updated 12/08/2016 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 019.019835
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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