Individual provider · Type 1 NPI
Bradley J. Lutchka
Oral and Maxillofacial Surgery (Dentist) · Moline, IL
NPI number
1780654202
Active
Practice location
930 16th Ave
Moline, IL 61265
Fax (309) 797-1791
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Moline
About NPI 1780654202
Bradley J. Lutchka's National Provider Identifier is 1780654202, issued on Jan 26, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Moline, IL. The record was last updated on Jul 13, 2026.