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Dr. Kathleen Marie Lucking, DDS
Dentist in Port Orange, Florida
NPI 1912345042

Kathleen Marie Lucking is a Dentist based in Port Orange, FL. Kathleen Marie Lucking practices in Port Orange, FL and has the professional credentials of DDS. The NPI Number for Kathleen Marie Lucking is 1912345042 and holds a License No. 019029445 (Florida).

The current practice location address for Kathleen Marie Lucking is 5400 Coraci Blvd Apt 6102, Port Orange, FL and can be reached out via phone at 989-708-1384.

Location: 5400 Coraci Blvd Apt 6102, Port Orange, FL, 32128-7576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912345042
Provider Name
Kathleen Marie Lucking
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
5400 Coraci Blvd Apt 6102, Port Orange, FL, 32128-7576
Phone Number
989-708-1384
Fax Number
Provider Enumeration Date
06/11/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14430849 05 FL
institution
Provider Business Practice Location Address Details
Address
5400 Coraci Blvd Apt 6102
City
Port Orange
State
Florida
Zip
32128-7576
Phone Number
989-708-1384
Fax Number
person
Provider Business Mailing Address Details
Address
5400 Coraci Blvd Apt 6102
City
Port Orange
State
Florida
Zip
32128-7576
Phone Number
989-708-1384
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
()
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
019029445 (Illinois)
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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