Luckam, John Paul

Luckam, John Paul is an individual health care provider with primary practice located at 2630 Geo Wash Mem Hwy , Hayes VA 23072. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Luckam, John Paul can be contacted via phone (804) 642-2120.

Contact Information

Primary practice address
2630 Geo Wash Mem Hwy Hayes VA 23072
Fax: (804) 642-1804
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401006212 Virginia

Profile Details

NPI number 1285786327
LBN Legal business name Luckam, John Paul
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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