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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.