Provider Demographics
NPI:1326149808
Name:LUCE, HOWARD LADD (DMD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:LADD
Last Name:LUCE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4331
Mailing Address - Street 2:
Mailing Address - City:GULF SHORES
Mailing Address - State:AL
Mailing Address - Zip Code:36547
Mailing Address - Country:US
Mailing Address - Phone:251-968-7170
Mailing Address - Fax:251-968-3370
Practice Address - Street 1:2025 WEST 1ST STREET
Practice Address - Street 2:
Practice Address - City:GULF SHORES
Practice Address - State:AL
Practice Address - Zip Code:36542
Practice Address - Country:US
Practice Address - Phone:251-968-7170
Practice Address - Fax:251-968-3370
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL49431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice