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Dr. Gregory J Lutcavage, DDS
Oral and Maxillofacial Surgery (Dentist) in Goldsboro, North Carolina
NPI 1518917657

Gregory J Lutcavage is a Oral and Maxillofacial Surgery (Dentist) based in Goldsboro, NC and is specialized in Oral and Maxillofacial Surgery. Gregory J Lutcavage practices in Goldsboro, NC and has the professional credentials of DDS. The NPI Number for Gregory J Lutcavage is 1518917657 and holds a License No. 5406 (North Carolina).

The current practice location address for Gregory J Lutcavage is 2400 Wayne Memorial Dr, Goldsboro, NC and can be reached out via phone at 919-736-2082 and via fax at 919-734-0893.

Location: 2400 Wayne Memorial Dr, Goldsboro, NC, 27534-1789
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518917657
Provider Name
Gregory J Lutcavage
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2400 Wayne Memorial Dr, Goldsboro, NC, 27534-1789
Phone Number
919-736-2082
Fax Number
919-734-0893
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95411 01 NC BCBS OF NC
418529 01 NC UNITED CONCORDIA
8995411 05 NC
institution
Provider Business Practice Location Address Details
Address
2400 Wayne Memorial Dr
City
Goldsboro
State
North Carolina
Zip
27534-1789
Phone Number
919-736-2082
Fax Number
919-734-0893
person
Provider Business Mailing Address Details
Address
2400 Wayne Memorial Dr
City
Goldsboro
State
North Carolina
Zip
27534-1789
Phone Number
919-736-2082
Fax Number
919-734-0893
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
5406 (North Carolina)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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