DR. MALLORY THERESE LUKAS (NPI# 1518310911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518310911 |
| Entity Type | Individual |
| Full Name | DR. MALLORY THERESE LUKAS |
| Credential | D.D.S. |
| Practice Address |
6887 Dixie Hwy Clarkston MI 48346-5107 |
| Mailing Address |
30420 Lyndon St Livonia MI 48154-4345 |
| Practice Telephone | 2486205420 |
| Mailing Telephone | 7347169233 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901021950 | MI | Dental Providers |
| Street Address |
6887 DIXIE HWY |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-5107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265455422 | John J Abdelmessih | Dentist | 6887 Dixie Hwy, Clarkston, MI 48346-5107 | 2006-07-26 |
| 1588130637 | Camela R. Ayoub LLC | Social Worker | 6887 Dixie Hwy, Clarkston, MI 48346-5107 | 2018-10-16 |
| 1104234822 | Karen Gomez | Social Worker | 6887 Dixie Hwy, Clarkston, MI 48346-5107 | 2014-07-25 |
| 1669803789 | Kathryn Menig | Social Worker | 6887 Dixie Hwy, Clarkston, MI 48346-5107 | 2013-12-01 |
| 1861838211 | Michael Hardy | Dentist | 6887 Dixie Hwy, Clarkston, MI 48346-5107 | 2013-05-13 |
| 1700184694 | North Oakland Family Counseling Center | Psychologist | 6887 Dixie Hwy, Clarkston, MI 48346-5107 | 2011-03-02 |
| 1720385388 | Jared M Wood | Psychologist | 6887 Dixie Hwy, Clarkston, MI 48346-5107 | 2011-02-17 |
| 1619103728 | Roy F Elturk | Dentist | 6887 Dixie Hwy, Clarkston, MI 48346-5107 | 2009-06-03 |
| 1285794487 | Nan O Campione | Social Worker | 6887 Dixie Hwy, North Oakland Family Counseling Center, Clarkston, MI 48346 | 2006-12-11 |
| 1841384328 | Elise Finch-sophiea | Social Worker | 6887 Dixie Hwy, Clarkston, MI 48350 | 2006-10-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| 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 |
|---|---|---|---|---|
| 1467600528 | Brian Davidson Dds PC | Dentist | 5720 Clarkston Road, Clarkston, MI 48348 | 2008-09-03 |
| 1396964466 | David William Regiani | Dentist | 10435 Ortonville Road, Suite B, Clarkston, MI 48348 | 2007-04-25 |
| 1740310630 | Gentle Dental | Dentist | 3595 Hill St., Clarkston, GA 30021 | 2007-03-07 |
| 1942331772 | Peach Dental Care | Dentist | 3596 W Hill St # B, Clarkston, GA 30021-1205 | 2007-03-07 |
| 1215083613 | Rasha Safaa Kajy | Dentist | 10435 Ortonville Rd Ste B, Clarkston, MI 48348-1979 | 2007-01-26 |
| 1639234222 | Mary Theresa Bauer | Dentist | 5760 Clarkston Road, Suite A, Clarkston, MI 48348 | 2006-12-26 |
| 1174624746 | Randall William Baetz | Dentist | 7150 Dixie Hwy, Clarkston, MI 48346-2068 | 2006-09-26 |
| 1679672224 | Reid Alan Folsom | Dentist | 1336 5th St, Clarkston, WA 99403-3314 | 2006-09-21 |
| 1881644243 | Thomas G. Santarossa Dds PC | Dentist | 7210 N Main St, Suite 104, Clarkston, MI 48346-1575 | 2006-05-10 |
| 1962471631 | David W. Regiani, Dds, PC | Dentist | 10435 Ortonville Road - Suite B, Clarkston, MI 48348 | 2006-03-16 |
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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.