Provider Demographics
NPI:1548753502
Name:COURY, LUKE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LUKE
Middle Name:
Last Name:COURY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 WEIDNER AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-2607
Mailing Address - Country:US
Mailing Address - Phone:540-521-9431
Mailing Address - Fax:
Practice Address - Street 1:2990 EASTERN BLVD
Practice Address - Street 2:
Practice Address - City:EAST YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2910
Practice Address - Country:US
Practice Address - Phone:717-755-9695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-13
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PADS042608122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program