Patrick Maarten Lucas-Perry, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901600831 Issued in MI

Practice address

3505 Wilder Rd Bay City
Bay City, MI 48706-2173

Phone

(989) 895-6600

NPI assigned

Mar 25, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1629655766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WINDWARD CT",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482075054",
            "telephone_number": "810-691-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 WILDER RD BAY CITY",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062173",
            "telephone_number": "989-895-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS-PERRY",
        "first_name": "PATRICK",
        "middle_name": "MAARTEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Low, R.N.
• Jessica Lowe, LMSW
• Kyra Lowell
• Lisa Katherine Lubold, LLMSW
• William Lubold III, LMSW, BCD
• Andrew John Luginbill, LLMSW
• Luminous Tech Partners
• Jason Luna, MA, LMSW
• Michael Matthew Lupo, PA-C
• Lauren Taylor Luptowski

• General Practice Dentistry in Bay City, MI
• Providers in Bay City, 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 May 28, 2021; 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.