Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1396901526 Deactivated / Inactive NPI Male Practitioner

Dr. Angelo B Luckett , DDS

Dentist • Krebs, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Angelo Luckett has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 07, 2008
NPI Deactivation Date January 10, 2024
Total Practice Duration ~16 Years of Practice (2008 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Angelo Luckett, DDS was a registered Dentist practicing in Krebs, OK. Throughout an active medical career spanning 16 years, Dr. Luckett provided care at the practice location at 245 SOUTH MAIN STREET until profile deactivation on 2024-01-10.

Practice Location & Contact Primary Location

Practice Address

245 South Main Street

Krebs, OK 74554

Telephone 9184232286
Fax 9184233506
Associated Practice Facility / Clinic
🏢 Angelo Luckett Dds Pc Facility NPI 1710072772

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Krebs, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Krebs, OK (1115 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OK 2853

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 10, 2024

Record deactivated on January 10, 2024

NPI Profile Active August 07, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 07, 2008

Registered at 245 SOUTH MAIN STREET, KREBS, OK 74554 (Tel: 9184232286)

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Updated Business Mailing Address August 07, 2008

Registered at PO BOX 8, 245 SOUTH MAIN, KREBS, OK 745540008 (Tel: 9184232286)

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Provider Name / Credentials Updated August 07, 2008

Recorded as ANGELO LUCKETT, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2008

Dentist (License #2853 in OK)

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Initial NPI Registration & Enumeration August 07, 2008

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: 1396901526
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2008
Last Update: August 07, 2008
Deactivation Date: January 10, 2024

Mailing Address

Po Box 8, 245 South Main

Krebs, OK 745540008

Phone: 9184232286

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.