Michael A. Luckett D.m.d. & Associates (rivercrest), Ltd. is a dental clinic (Dentist - General Practice) in Crestwood, Illinois. The current practice location for Michael A. Luckett D.m.d. & Associates (rivercrest), Ltd. is 4839 West Calsag Rd, #310, Crestwood, Illinois. For appointments, you can reach them via phone at
(708) 597-9055. The mailing address for Michael A. Luckett D.m.d. & Associates (rivercrest), Ltd. is Po Box 860036, Minneapolis, Minnesota and phone number is (216) 584-1000.
Michael A. Luckett D.m.d. & Associates (rivercrest), Ltd. is licensed to practice in Illinois (license number 019.019835) and its
NPI number is 1174594378. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(708) 597-9055.
Dental Care Clinic Profile
| Full Name | Michael A. Luckett D.m.d. & Associates (rivercrest), Ltd. |
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| Speciality | Dentist - General Practice |
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| Location | 4839 West Calsag Rd, Crestwood, Illinois |
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| Authorized Official Name and Position | Michael A Luckett (DENTIST/OWNER) |
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| Authorized Official Contact | 7085979055 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Michael A. Luckett D.m.d. & Associates (rivercrest), Ltd.
Po Box 860036
Minneapolis
MN 55486
Ph: (216) 584-1000 | Michael A. Luckett D.m.d. & Associates (rivercrest), Ltd.
4839 West Calsag Rd
#310
Crestwood
IL 60445-4415
Ph: (708) 597-9055 |
NPI Details:
| NPI Number | 1174594378 |
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| Provider Enumeration Date | 01/27/2006 |
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| Last Update Date | 12/08/2016 |
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Medical Identifiers
Medical identifiers for Michael A. Luckett D.m.d. & Associates (rivercrest), Ltd. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174594378 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | 019.019835 (Illinois) | Primary |
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