Michael A. Luckett D.m.d. & Associates (rivercrest), Ltd.

NPI #1174594378 in Crestwood, Illinois

Provider Information

NPI Number
1174594378
Entity Type
Organization
Organization Name
Michael A. Luckett D.m.d. & Associates (rivercrest), Ltd.
Subpart
Yes (part of a larger organization)
Parent Organization
DENTALONE PARTNERS, INC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 27, 2006
Last Updated
Dec 8, 2016

Practice Location

Address
4839 WEST CALSAG RD
Address 2
#310
ZIP Code
60445-4415
Phone
(708) 597-9055

Authorized Official

Name
MICHAEL A LUCKETT, DMD
Title
DENTIST/OWNER
Phone
(708) 597-9055

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - EndodonticsEndodontics
Dentist - Pediatric DentistryPediatric Dentistry
Dentist - PeriodonticsPeriodontics
Dentist - ProsthodonticsProsthodontics
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics
Dentist - General PracticeGeneral Practice

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