Individual provider · Type 1 NPI

Charles Mitchell Luckett, DMD

General Practice Dentistry · Louisville, KY

NPI number 1720163413 Active

About NPI 1720163413

Charles Mitchell Luckett, DMD's National Provider Identifier is 1720163413, issued on Oct 25, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Louisville, KY. The record was last updated on Jul 8, 2007.