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Contact Information

ANGELO LUCKETT DDS PC
245 MAIN STREET
245 MAIN STREET
KREBS, OK74554
 Phone: 918-423-2286
 Fax: 918-423-3506
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ANGELO LUCKETT DDS PC

NPI Number 1710072772
LBN Legal business name ANGELO LUCKETT DDS PC
Authorized official ANGELO LUCKETT - (PRES)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
OK License # 2853
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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