Luczak, Richard Bernard
Luczak, Richard Bernard is an individual health care provider with primary practice located at 1245 S Main St Ste 100 , Grapevine TX 76051-7522. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Luczak, Richard Bernard can be contacted via phone (817) 527-1590.Contact Information
Primary practice address
1245 S Main St Ste 100
Grapevine TX 76051-7522
Phone: (817) 527-1590
Fax: (817) 416-8431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 19398 | Texas |
Profile Details
| NPI number | 1528208568 |
|---|---|
| LBN Legal business name | Luczak, Richard Bernard |
| Credentials | DDS, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2009 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528208568 | NPPES |
| Other | 870515 | UNITED CONCORDIA |
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