Individual provider Active NPI

Allicia Lucich, DMD

  • Dentist
  • Aiken, SC
National Provider Identifier
1740954072
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11441 Issued in SC
Practice address
341 Newberry St NW
Aiken, SC 29801-3929
Phone
(803) 649-0044
Fax
(803) 649-0044
NPI assigned
Aug 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN122566 GA
General Practice Dentistry 1223G0001X 12371717-9921 UT
Dentist 122300000X 11441 SC Primary

Addresses

Primary practice location

341 Newberry St NW
Aiken, SC 29801-3929

Mailing address

4110 Buffalo TRL
Evans, GA 30809-0959
Phone (530) 415-9862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN122566GAMDDentist
12371717-9921UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Allies Aesthetics LLC General Practice PastSince Mar 12, 2023 Accepting new patients
Patriots Park Dental General Practice PastSince Jun 23, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1740954072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 BUFFALO TRL",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308090959",
            "telephone_number": "530-415-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 NEWBERRY ST NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013929",
            "telephone_number": "803-649-0044",
            "fax_number": "803-649-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCICH",
        "first_name": "ALLICIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN122566",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "12371717-9921",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "11441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.