Dr. Kathleen Marie Lucking is a Port Orange, Florida based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kathleen Marie Lucking is DN24377 for Dentistry in Florida. Her current practice location is 5400 Coraci Blvd Apt 6102, Port Orange. Patients can reach her at 989-708-1384.
Dr. Kathleen Marie Lucking is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kathleen Marie Lucking speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Kathleen Marie Lucking
Specialization:
Dentist
Gender:
Female
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
5400 Coraci Blvd Apt 6102, Port Orange, Florida, 32128-7576
Phone:
989-708-1384
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1912345042
NPI Enumeration Date:
11 Jun, 2013
NPI Last Update On:
27 Aug, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kathleen Marie Lucking are as mentioned below.
License Number
Specialization
State
Status
DN24377
Dentistry
Florida
Primary
019029445
Dentistry
Illinois
Secondary
Student in an Organized Health Care Education/Training Program
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kathleen Marie Lucking such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
14430849
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5400 Coraci Blvd Apt 6102, Port Orange, Florida
Zip:
32128-7576
Phone Number:
989-708-1384
Patients can reach Dr. Kathleen Marie Lucking at 5400 Coraci Blvd Apt 6102, Port Orange, Florida or can call to book an appointment on 989-708-1384. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.