Provider Demographics
NPI:1811035322
Name:LUKES, GEORGE N (DMD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:N
Last Name:LUKES
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 1:2653A OLD SHELL ROAD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607
Mailing Address - Country:US
Mailing Address - Phone:251-471-1686
Mailing Address - Fax:251-471-1975
Practice Address - Street 1:2653A OLD SHELL ROAD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607
Practice Address - Country:US
Practice Address - Phone:251-471-1686
Practice Address - Fax:251-471-1975
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL41791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice