Luckym Van Dinh, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02924100 Issued in NJ

Practice address

3 Kelly Driver Rd
Laurel Springs, NJ 08021-4823

Phone

(856) 258-7064

NPI assigned

Jun 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1871225136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HAMPDEN RD",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190824007",
            "telephone_number": "484-343-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 KELLY DRIVER RD",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080214823",
            "telephone_number": "856-258-7064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Hampden Rd",
            "address_purpose": "LOCATION",
            "city": "Upper Darby",
            "state": "PA",
            "postal_code": "190824007",
            "country_code": "US",
            "telephone_number": "484-343-3173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINH",
        "first_name": "LUCKYM",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS043753",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043753",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02924100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Connor
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• Kristin Curi
• Dennis Ribatsky, D.D.S., P.a.
• Nicholas Desimone
• Kathleen M. Dwyer
• Eastern Dental of Laurel Springs, LLC
• Donnajean Ebert, MSW, LSW
• Eckerd Corporation
• Elite Family Dental Care

• All providers in Laurel Springs, NJ
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.