Provider Demographics
NPI:1952796658
Name:DENNIS R. LUCAS INC
Entity Type:Organization
Organization Name:DENNIS R. LUCAS INC
Other - Org Name:DENNIS R. LUCAS D.M.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:239-262-5851
Mailing Address - Street 1:1000 TAMIAMI TRL N
Mailing Address - Street 2:302
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5481
Mailing Address - Country:US
Mailing Address - Phone:239-262-5851
Mailing Address - Fax:239-262-7498
Practice Address - Street 1:1000 TAMIAMI TRL N
Practice Address - Street 2:302
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5481
Practice Address - Country:US
Practice Address - Phone:239-262-5851
Practice Address - Fax:239-262-7498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty