Whalio Doctors

NPI 1003224833

Stephanie N Luckett, DMD

Practitioner Dentist Louisville, KY

Practice location

Address
2215 Portland Ave, Louisville, KY 40212-1033
Phone
(502) 772-8160
Fax
(502) 772-8108
Mailing address
2215 Portland Avenue, Louisville, KY 40242-3214

Registered specialties

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 9477 (KY)

Registry record

NPI
1003224833
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Jul 2014
Record last updated
6 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.