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Active NPI 1134290877 Individual Practitioner Male Practitioner

Michael Luckett

Dentist - General Practice • Crestwood, IL

Professional Overview & Biography Verified Profile Summary

Michael Luckett is a registered healthcare professional specializing in Dentist - General Practice in Crestwood, IL. Practice services are available at 4839 CAL SAG RD # 310 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4839 Cal Sag Rd # 310

Crestwood, IL 604184415

Telephone 7085979055
Fax 2165847062
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Crestwood, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Crestwood, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019-019835

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IL 019019835

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 08, 2024

Registered at 4839 CAL SAG RD # 310, CRESTWOOD, IL 604184415 (Tel: 7085979055)

📍
Updated Business Mailing Address January 08, 2024

Registered at 4839 CAL SAG RD # 310, CRESTWOOD, IL 604184415 (Tel: 7085979055)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2024

Dentist (License #019019835 in IL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5875 LANDERBROOK DR STE 250, MAYFIELD HTS, OH 441246502 (Tel: 8004874867)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5875 LANDERBROOK DR STE 250, MAYFIELD HTS, OH 441246502 (Tel: 8004874867)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL LUCKETT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

🟢
Initial NPI Registration & Enumeration November 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134290877
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2006
Last Update: January 08, 2024
Sole Proprietor: No

Mailing Address

4839 Cal Sag Rd # 310

Crestwood, IL 604184415

Phone: 7085979055

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.