Lux Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LUX DENTAL PLLC

Practice address

4470 Highland Rd
Waterford, MI 48328-1222

Phone

(248) 275-3244

NPI assigned

Mar 24, 2023

Organization subpart

No

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

Authorized official

Name

Sonya Mansour

Title

Manager

Phone

(586) 843-6474

Specialties & licenses 1

Addresses

Other names 1

• Lux Dental Doing business as

Locations

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1952004228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281222",
            "telephone_number": "248-275-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4470 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281222",
            "telephone_number": "248-275-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUX DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "586-843-6474"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lux Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Verena Louise Love
• David M Luciw
• Katherine Lulgjuraj, BS
• Michelle Lumetta, RN
• Christine Lustig, RN,MN
• Luxottica Retail North America Inc
• Luxottica Retail North America Inc
• Lynn Behavorial Services, P.C.
• Courtney Lyon
• Paul Vincent Lyons

• Dental Clinic/Center in Waterford, MI
• Providers in Waterford, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.