| Angelo Luckett Dds Pc | |
|
245 Main Street 245 Main Street Krebs OK 74554 | |
| (918) 423-2286 | |
| (918) 423-3506 |
| Full Name | Angelo Luckett Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 245 Main Street, Krebs, Oklahoma |
| Authorized Official Name and Position | Angelo Luckett (PRES) |
| Authorized Official Contact | 9184232286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angelo Luckett Dds Pc Po Box 8 245 Main Street Krebs OK 74554 Ph: (918) 423-2286 | Angelo Luckett Dds Pc 245 Main Street 245 Main Street Krebs OK 74554 Ph: (918) 423-2286 |
| NPI Number | 1710072772 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710072772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2853 (Oklahoma) | Primary |