Angelo Luckett DDS PC
Organization Active NPI Dentist · Krebs, OK
NPI 1710072772 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1710072772
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 2853 (OK)
- Legal business name
- ANGELO LUCKETT DDS PC
- Practice address
- 245 Main Street
245 Main Street
Krebs, OK 74554 - Phone
- (918) 423-2286
- Fax
- (918) 423-3506
- NPI assigned
- Oct 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Angelo Luckett, DDS
- Title
- Pres
- Phone
- (918) 423-2286
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 2853 | OK | Yes |
Addresses
Primary practice location
245 Main Street
245 Main Street
Krebs, OK 74554
Mailing address
PO Box 8
245 Main Street
Krebs, OK 74554
Phone (918) 423-2286
Other providers in Krebs, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.