Individual provider · Type 1 NPI

Luke Maddox, DMD

Student in an Organized Health Care Education/Training Program · Gainesville, FL

NPI number 1154015097 Active

Practice location

1395 Center Dr # D1-40
Gainesville, FL 32610-2005

Call (352) 273-7643 Map

Mailing address

PO Box 100426
Gainesville, FL 32610-0426

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X32043 (FL)
Student in an Organized Health Care Education/Training Program Primary 390200000X2957 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1154015097

Luke Maddox, DMD's National Provider Identifier is 1154015097, issued on Jun 5, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gainesville, FL. The record was last updated on Jun 24, 2026.