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NPI Profile for MICHAEL A LUCKETT DMD ASSOCIATES WESTERN in CHICAGO, IL.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X | |||
Dentist |
122300000X | |||
Endodontics |
1223E0200X | |||
Orthodontics and Dentofacial Orthopedics |
1223X0400X | |||
Pediatric Dentistry |
1223P0221X | |||
Periodontics |
1223P0300X | |||
Prosthodontics |
1223P0700X |
| NPI Number | 1831169218 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/26/2006 | |
| Last updated | 12/28/2011 - About 14 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MICHAEL A. LUCKETT, DMD & ASSOCIATES (WESTERN
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MICHAEL A. LUCKETT, DMD & ASSOCIATES (WESTERN