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Dr. Michael Luckett
General Practice Dentistry in Crestwood, Illinois
NPI 1134290877

Michael Luckett is a General Practice Dentistry based in Crestwood, IL and is specialized in General Practice. Michael Luckett practices in Crestwood, IL. The NPI Number for Michael Luckett is 1134290877 and holds a License No. 019019835 (Illinois).

The current practice location address for Michael Luckett is 4839 Cal Sag Rd # 310, Crestwood, IL and can be reached out via phone at 708-597-9055 and via fax at 216-584-7062.

Location: 4839 Cal Sag Rd # 310, Crestwood, IL, 60418-4415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134290877
Provider Name
Michael Luckett
Credential
Provider Entity Type
Individual
Gender
Male
Address
4839 Cal Sag Rd # 310, Crestwood, IL, 60418-4415
Phone Number
708-597-9055
Fax Number
216-584-7062
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4839 Cal Sag Rd # 310
City
Crestwood
State
Illinois
Zip
60418-4415
Phone Number
708-597-9055
Fax Number
216-584-7062
person
Provider Business Mailing Address Details
Address
4839 Cal Sag Rd # 310
City
Crestwood
State
Illinois
Zip
60418-4415
Phone Number
708-597-9055
Fax Number
216-584-7062
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019019835 (Illinois)
Definition
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.
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