Dr. Kevin Charles Lucky is a Summersville, West Virginia based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kevin Charles Lucky is 3293 for Dentistry in West Virginia. His current practice location is 832 Broad Street, Summersville. Patients can reach him at 304-872-3919.
Dr. Kevin Charles Lucky is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kevin Charles Lucky 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. Kevin Charles Lucky
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
832 Broad Street, Summersville, West Virginia, 26651
Phone:
304-872-3919
Fax:
304-872-4943
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:
1104970300
NPI Enumeration Date:
23 Jan, 2007
NPI Last Update On:
03 Aug, 2022
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. Kevin Charles Lucky are as mentioned below.
License Number
Specialization
State
Status
3293
Dentistry
West Virginia
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kevin Charles Lucky such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0134684000
Medicaid
West Virginia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
832 Broad Street, Summersville, West Virginia
Zip:
26651
Phone Number:
304-872-3919
Fax Number:
304-872-4943
Patients can reach Dr. Kevin Charles Lucky at 832 Broad Street, Summersville, West Virginia or can call to book an appointment on 304-872-3919. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.