DR. VICTORIA MONIQUE LUCAS-PERRY (NPI# 1457645202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457645202 |
| Entity Type | Individual |
| Full Name | DR. VICTORIA MONIQUE LUCAS-PERRY |
| Credential | DDS |
| Practice Address |
4727 Saint Antoine St Apt 6e Detroit MI 48201-1461 |
| Mailing Address |
68 Bradhurst Ave Apt 6e New York NY 10039-3304 |
| Practice Telephone | 3138337309 |
| Mailing Telephone | 8106913567 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2012-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 14902 | MD | Dental Providers |
| N | 122300000X | Dentist | 2901020509 | MI | Dental Providers |
| Y | 122300000X | Dentist | 056249-1 | NY | Dental Providers |
| N | 122300000X | Dentist | DEN1001086 | DC | Dental Providers |
| Street Address |
4727 SAINT ANTOINE ST APT 6E |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-1461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790773091 | Jeffrey Gillum | Obstetrics & Gynecology | 4727 Saint Antoine St, Suite 210, Detroit, MI 48201-1461 | 2005-10-11 |
| 1083146906 | S Madani Md PC | Pediatrics | 4727 Saint Antoine St, Suite 402, Detroit, MI 48201-1461 | 2017-03-30 |
| 1750737821 | Selice Jenae Zooper | Dental Hygienist | 4727 Saint Antoine St, Suite 408, Detroit, MI 48201-1461 | 2016-05-09 |
| 1275989352 | Mya Weeks | Dental Hygienist | 4727 Saint Antoine St, Suite 408, Detroit, MI 48201-1461 | 2016-05-09 |
| 1386098663 | Lucas Perry Dental Group | Clinic/Center | 4727 Saint Antoine St, Suite 408, Detroit, MI 48201-1461 | 2016-04-22 |
| 1558769836 | Global Health Ipa | Family Medicine | 4727 Saint Antoine St, Ste 202, Detroit, MI 48201-1461 | 2014-12-18 |
| 1265841977 | Latonya Waller | Dentist | 4727 Saint Antoine St, Detroit, MI 48201-1461 | 2014-08-06 |
| 1902213689 | Hutzel Womens Health Specialists | Obstetrics & Gynecology | 4727 Saint Antoine St, Suite 304, Detroit, MI 48201-1461 | 2014-07-15 |
| 1093134348 | Jackson Health Services | Family Medicine | 4727 Saint Antoine St, Ste 202, Detroit, MI 48201-1461 | 2014-04-15 |
| 1093145377 | Metro Womens Health Pllc | Obstetrics & Gynecology | 4727 Saint Antoine St, Suite 304, Detroit, MI 48201-1461 | 2013-11-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578947784 | Hamza Belhaj | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 | 2015-07-17 |
| 1669865069 | Siew-ging Gong | Dentist | 2681 W Grand Blvd, Detroit, MI 48208-1233 | 2015-03-09 |
| 1265830756 | Caring Dentistry of Detroit | Dentist | 1001 W 7 Mile Rd, Detroit, MI 48203-1929 | 2014-12-15 |
| 1760887020 | Monument Dental PC | Dentist | 15510 Livernois Avenue, Detroit, MI 48238 | 2014-10-29 |
| 1376981530 | Basam Shamo | Dentist | 3670 Woodward Ave Ste 101b, Detroit, MI 48201-2456 | 2013-06-10 |
| 1639414626 | Prettysmilesdenturesandmorellc | Dentist | 19123 West Mcnichols Rd, Detroit, MI 40219 | 2012-12-03 |
| 1245574854 | Merrill Lenore Perlow | Dentist | 2217 Springwells St, Detroit, MI 48209-1509 | 2012-11-20 |
| 1245598770 | Mohamed M Mansour | Dentist | 2700 Mlk Jr Blvd, University of Detroit Mercy,school of Dentistry, Detroit, MI 48208-2576 | 2012-05-03 |
| 1417223298 | Paula G Carson Dds PC | Dentist | 18616 W Mcnichols Rd, Detroit, MI 48219-4160 | 2012-03-27 |
| 1205103728 | Lauren Rush | Dentist | 60 E Warren Ave Fl 2, Detroit, MI 48201 | 2011-11-29 |
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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.