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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 D.M.D. & ASSOCIATES (RIVERCREST), LTD.

NPI Number 1174594378
LBN Legal business name MICHAEL A. LUCKETT D.M.D. & ASSOCIATES (RIVERCREST), LTD.
Authorized official MICHAEL LUCKETT - (DENTIST/OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/27/2006
Last updated 12/08/2016 - About 9 years ago
Identifiers
IL License # 019.019835
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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