Individual provider · Type 1 NPI

Fred Lucas, DDS

Periodontics · Skokie, IL

NPI number 1619988771 Active

Practice location

9933 Lawler Ave
Skokie, IL 60077-3703

Call (847) 675-4867 Map

Mailing address

701 Thompson Blvd
Buffalo Grove, IL 60089-1013

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X019023343 (IL)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1619988771

Fred Lucas, DDS's National Provider Identifier is 1619988771, issued on Aug 11, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Skokie, IL. The record was last updated on Jul 8, 2007.