Lucas-Perry Dental Group, P.L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901013084 Issued in MI

Legal business name

LUCAS-PERRY DENTAL GROUP, P.L.L.C.

Practice address

4160 John R St
Suite 824
Detroit, MI 48201-2020

Phone

(810) 691-2268

Fax

(810) 695-6728

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Patricia A. Lucas, D.D.S.NPI 1780781419

Title

President

Phone

(810) 691-2268

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Ann Lucas, D.D.S.

  • General Practice Dentistry
  • Detroit, MI
  • NPI 1780781419
  Authorized official Same address or phone

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1275630923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4494 WARWICK CIRCLE DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398337",
            "telephone_number": "810-695-6621",
            "fax_number": "810-695-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST",
            "address_2": "SUITE 824",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012020",
            "telephone_number": "810-691-2268",
            "fax_number": "810-695-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS-PERRY DENTAL GROUP, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-691-2268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Lubus
• Elizabeth A Lucarelli, LCSW, LMSW
• Vito Lucarelli, MD
• Lucas Family Home Care LLC
• Lucas Perry Dental Group
• Laval Alonzo Lucas-Perry, RDH
• Victoria Monique Lucas-Perry, DDS
• Charles Edward Lucas, MD
• Cheryl Lucas, LMSW
• Ebony Sukarie-Leatrice Lucas, LLMSW

• General Practice Dentistry in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.