Dr Luke Maddox, DMD is a
Student In An Organized Health Care Education/training Program based in Gainesville, Florida. Dr Luke Maddox is licensed to practice in Florida (license number 2957) and his current practice location is
1395 Center Dr # D1-40, Gainesville, Florida. He can be reached at his office (for appointments etc.) via phone at
(352) 273-7643.
NPI number for Dr Luke Maddox is 1154015097 and his current mailing address is Po Box 100426, Gainesville, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154015097.
Healthcare Provider's Profile
| Full Name | Dr Luke Maddox |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1395 Center Dr # D1-40, Gainesville, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154015097
- Provider Enumeration Date: 06/05/2023
- Last Update Date: 06/24/2026
Medical Identifiers
Medical identifiers for Dr Luke Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154015097 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | 32043 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 2957 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Luke Maddox is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Luke Maddox, DMD Po Box 100426, Gainesville, FL 32610-0426 Ph: () - | Dr Luke Maddox, DMD 1395 Center Dr # D1-40, Gainesville, FL 32610-2005 Ph: (352) 273-7643 |
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