Fred R Lucas DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FRED R LUCAS DDS INC

Practice address

321 N Nash
Watonga, OK 73772-0570

Phone

(580) 623-7397

Fax

(580) 623-4912

NPI assigned

Oct 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fred R Lucas Jr., DDS

Title

President

Phone

(580) 623-7397

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154414456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570",
            "city": "WATONGA",
            "state": "OK",
            "postal_code": "737720570",
            "telephone_number": "580-623-7397",
            "fax_number": "580-623-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N NASH",
            "city": "WATONGA",
            "state": "OK",
            "postal_code": "737720570",
            "telephone_number": "580-623-7397",
            "fax_number": "580-623-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED R LUCAS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-623-7397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lezlie Daugherty
• Jerome Dario Aldo Dinan, PA-C
• Helen C Dodson, RN
• Robert Duane Edsall, DDS
• Christi Esanu, PMHNP-BC
• Jane Anne Frymire, DPH
• James Garner, M.D.
• Marlin R Giles, BS
• Matthew Giles
• Stephanie Diane Goldman, BHR

• General Practice Dentistry in Watonga, OK
• Providers in Watonga, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.