person
Luke David Vickers, DDS
Oral and Maxillofacial Surgery (Dentist) in Plymouth, Minnesota
NPI 1700388014

Luke David Vickers is a Oral and Maxillofacial Surgery (Dentist) based in Escondido, MN and is specialized in Oral and Maxillofacial Surgery. Luke David Vickers practices in Plymouth, MN and has the professional credentials of DDS. The NPI Number for Luke David Vickers is 1700388014 and holds a License No. DT-2960 (Minnesota).

The current practice location address for Luke David Vickers is 3405 Vicksburg Ln N Ste 120, Plymouth, MN and can be reached out via phone at 760-859-6032.

Location: 3405 Vicksburg Ln N Ste 120, Plymouth, MN, 92033-0572
person
Provider Profile Details
NPI Number
1700388014
Provider Name
Luke David Vickers
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3405 Vicksburg Ln N Ste 120, Plymouth, MN, 92033-0572
Phone Number
760-859-6032
Fax Number
Provider Enumeration Date
03/02/2018
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
3405 Vicksburg Ln N Ste 120
City
State
Zip
55447-1370
Phone Number
760-859-6032
Fax Number
person
Provider Business Mailing Address Details
Address
3405 Vicksburg Ln N Ste 120
City
State
Zip
55447-1370
Phone Number
760-859-6032
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
D15159 (Minnesota)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
DT-2960 (Hawaii)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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