JONATHAN THACHARA LUKE DDS NPI 1306343306

NPI Information

NPI: 1306343306
Provider Name: JONATHAN THACHARA LUKE, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
26220 POINT LOOKOUT RD
LEONARDTOWN, MD
ZIP 20650
Phone: (301) 475-8100
Get Directions

Jonathan Thachara Luke, DDS is a general practice dentist in Leonardtown, MD. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Jonathan Thachara Luke, DDS NPI is 1306343306. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

26220 POINT LOOKOUT RD
LEONARDTOWN, MD
ZIP 20650-748
Phone: (301) 475-8100

The NPI 1306343306 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 4/7/2018 and was last updated on 6/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DS042595	PENNSYLVANIA	No
2	1223G0001X	Dentist	General Practice	16580	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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