DR. KEVIN MICHAEL LUKIS DDS NPI 1215360110

NPI Information

  • NPI: 1215360110
  • Provider Name: DR. KEVIN MICHAEL LUKIS, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 1250 FOREST AVE
    STE 3B
    PORTLAND, ME
    ZIP 04103
  • Phone: (207) 878-3480

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NPI Details

DR. Kevin Michael Lukis, DDS is a general practice dentist in Portland, ME. 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. DR. Kevin Michael Lukis, DDS NPI is 1215360110. 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:

1250 FOREST AVE
STE 3B
PORTLAND, ME
ZIP 04103-889
Phone: (207) 878-3480

The enumeration date for this NPI number is 8/14/2013 and was last updated on 8/22/2013.

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
11223G0001XDentistGeneral Practice4321MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14321OTHERMAINEDENTAL LICENSE NUMBER

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: 11/21/2025

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