Lucas Perry Dental Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LUCAS PERRY DENTAL GROUP

Practice address

4727 Saint Antoine St
Suite 408
Detroit, MI 48201-1461

Phone

(313) 833-7309

NPI assigned

Apr 22, 2016

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, DDS

Title

Dentist

Phone

(313) 833-7309

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1386098663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19242 BERDEN ST",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482252402",
            "telephone_number": "313-646-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 SAINT ANTOINE ST",
            "address_2": "SUITE 408",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011461",
            "telephone_number": "313-833-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS PERRY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "313-833-7309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Lubish, OTR
• Maya Lubus
• Elizabeth A Lucarelli, LCSW, LMSW
• Vito Lucarelli, MD
• Lucas Family Home Care LLC
• Lucas-Perry Dental Group, P.L.L.C.
• Laval Alonzo Lucas-Perry, RDH
• Victoria Monique Lucas-Perry, DDS
• Charles Edward Lucas, MD
• Cheryl Lucas, LMSW

• Dental Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.