DR. CLEOKA ALESHA LUCAS DDS NPI 1770613754

NPI Information

NPI: 1770613754
Provider Name: DR. CLEOKA ALESHA LUCAS, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
181 N MAIN ST STE 202
MOORESVILLE, NC
ZIP 28115
Phone: (704) 459-3476
Get Directions

DR. Cleoka Alesha Lucas, DDS is a pediatric dentistry dentist in Mooresville, NC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Cleoka Alesha Lucas, DDS NPI is 1770613754. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

181 N MAIN ST STE 202
MOORESVILLE, NC
ZIP 28115-525
Phone: (704) 459-3476

The enumeration date for this NPI number is 3/7/2007 and was last updated on 12/13/2023.

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	1223P0221X	Dentist	Pediatric Dentistry	3593	SOUTH CAROLINA	No
2	1223P0221X	Dentist	Pediatric Dentistry	DN013295	GEORGIA	No
3	1223P0221X	Dentist	Pediatric Dentistry	8916	NORTH CAROLINA	Yes

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
1	9184392	MEDICAID	GEORGIA
2	101050	MEDICAID	GEORGIA
3	5915302	MEDICAID	NORTH CAROLINA
4	633874403A	MEDICAID	GEORGIA

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: 4/28/2024

NPI Synchronization or Removal

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