DR. JOHN PAUL LUCKAM (NPI# 1285786327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285786327 |
| Entity Type | Individual |
| Full Name | DR. JOHN PAUL LUCKAM |
| Credential | DDS |
| Practice Address |
2630 Geo Wash Mem Hwy Hayes VA 23072 |
| Mailing Address |
Post Office Box 112 Gloucester Point VA 23062-0112 |
| Practice Telephone | 8046422120 |
| Practice Fax Number | 8046421804 |
| Mailing Telephone | 8046422120 |
| Mailing Fax Number | 8046421804 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401006212 | VA | Dental Providers |
| Street Address |
2630 GEO WASH MEM HWY |
| City | HAYES |
| State | VA |
| Zip Code | 23072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003090119 | J Lombard Dds & N Vogt Dds | Dentist | 2630 Geo Wash Mem Hwy, Hayes, VA 23072 | 2007-12-26 |
| 1942352067 | Nathan Michael Vogt | Dentist | 2630 Geo Wash Mem Hwy, Hayes, VA 23072 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560911 | Muhanned A Alhadad | Dentist | 3224 George Washington Hwy, Hayes, VA 23072 | 2019-07-19 |
| 1629574488 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 7254 Hayes Shopping Court, Hayes, VA 23072 | 2018-04-02 |
| 1033328885 | Suber Jones IIi | Pharmacist | Us Highway 17, Hayes, VA 23072 | 2007-05-21 |
| 1225180342 | Ronald James Smith | Dentist | 2630 George Washington Memorial Hwy, Hayes, VA 23072 | 2007-01-17 |
| 1770666562 | Charles R Harris Jr. | Dentist | 2922 George Washington Highway, Hayes, VA 23072 | 2006-10-23 |
| 1679676134 | Hayes Dental Associates, P.C. | Dentist | 3073 George Washington Hwy, Hayes, VA 23072 | 2006-09-07 |
| 1346356714 | David Alan Morris | Dentist | 2674 B George Washington Mem Highway, Hayes, VA 23072 | 2006-08-21 |
| 1902826373 | Harvey Claude Woodruff IIi | Dentist | 2654 George Washington Memorial Highway, Hayes, VA 23072 | 2006-07-20 |
| 1366419921 | Alfred L Brassel Jr. | Family Medicine | 2348 York Crossing Dr, Hayes, VA 23072 | 2006-03-02 |
| 1710518733 | Jennifer Foster | Pharmacist | 7254 Hayes Shopping Court, Hayes, VA 23072 | 2020-01-29 |
| Find all providers in zip 23072 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560911 | Muhanned A Alhadad | Dentist | 3224 George Washington Hwy, Hayes, VA 23072 | 2019-07-19 |
| 1043364599 | Diann Gordon | Dentist | 3224 George Washington Memorial Hwy, Hayes, VA 23072-3312 | 2007-01-22 |
| 1225180342 | Ronald James Smith | Dentist | 2630 George Washington Memorial Hwy, Hayes, VA 23072 | 2007-01-17 |
| 1770666562 | Charles R Harris Jr. | Dentist | 2922 George Washington Highway, Hayes, VA 23072 | 2006-10-23 |
| 1013182062 | R & C Dental, Inc. | Dentist | 4121 George Washington Memorial Hwy, Hayes, VA 23072-2931 | 2008-04-29 |
| 1003090119 | J Lombard Dds & N Vogt Dds | Dentist | 2630 Geo Wash Mem Hwy, Hayes, VA 23072 | 2007-12-26 |
| 1932251055 | Joseph Anthony Lombard Jr. | Dentist | 2630 George Washington Memorial Hwy, Hayes, VA 23072 | 2007-01-17 |
| 1942352067 | Nathan Michael Vogt | Dentist | 2630 Geo Wash Mem Hwy, Hayes, VA 23072 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154516 | Kim Ierna Kitchen Dds, PC | Dentist | 500 Montgomery St Ste 250, Alexandria, VA 22314-1558 | 2020-11-05 |
| 1548877194 | Vishakha N Devrukhkar | Dentist | 4011 Wards Rd Ste A, Lynchburg, VA 24502-2943 | 2020-09-28 |
| 1477160547 | Modaresi & Avin Dds Pllc | Dentist | 24805 Pinebrook Rd Ste 112, Chantilly, VA 20152-4127 | 2020-09-23 |
| 1215549654 | Alan Ostrovsky | Dentist | 9225 Doerr Rd # 1220, Fort Belvoir, VA 22060-2204 | 2020-08-18 |
| 1861003576 | Se Eun Ahn | Dentist | 1647 Admiral Taussig Blvd Ste 241, Norfolk, VA 23511-2803 | 2020-08-14 |
| 1891305868 | Chanel Von Schlichting | Dentist | 1300 Cedar Rd Ste 100, Chesapeake, VA 23322-7414 | 2020-08-05 |
| 1952910358 | Erica Vetter | Dentist | 10525 Braddock Rd Ste 9a, Fairfax, VA 22032-2257 | 2020-07-31 |
| 1336758382 | Chitti Mengji | Dentist | 3441 Kilburn Cir Apt 618, Henrico, VA 23233-1137 | 2020-07-27 |
| 1518575851 | Reza Tahernia & Associates Pllc | Dentist | 1901 N Moore St Ste 501, Arlington, VA 22209-1700 | 2020-07-22 |
| 1467060996 | Daniel Kuyk | Dentist | 616 Campus Dr Ste 100, Abingdon, VA 24210-9706 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.