Robert Lucas
Individual provider Active NPI General Practice Dentistry · Delphi, IN
NPI 1497875470 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497875470
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12008506A (IN)
- Practice address
- 204 W Main St
Delphi, IN 46923-1432 - Phone
- (765) 564-3740
- NPI assigned
- Mar 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12008506A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delphi Family Dentistry, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12008506A | IN | Yes |
Addresses
Primary practice location
204 W Main St
Delphi, IN 46923-1432
Mailing address
204 W Main St
Delphi, IN 46923-1432
Other providers in Delphi, IN
- David P Krause
- Mary Elizabeth Law
- Joseph Michael Little
- Andrew Thompson Lopez
- Kayla Diane Lucas
- Megan Matzen
- Stephanie Milan
- Sara Miller
- Scott Alan Miller
- Marilyn Minich
All providers in Delphi, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.