DR. MARK WILLIAM LUCAS (NPI# 1912019522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912019522 |
| Entity Type | Individual |
| Full Name | DR. MARK WILLIAM LUCAS |
| Credential | D.D.S. |
| Practice Address |
4170 Lennon Rd Suite C Flint MI 48507-1083 |
| Mailing Address |
6067 Brookstone Ln Grand Blanc MI 48439-9432 |
| Practice Telephone | 8107320303 |
| Practice Fax Number | 8107321360 |
| Mailing Telephone | 8106956780 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901013273 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821334343 | Mark Austin Lucas | Physical Therapist | 1325 Somersby Ln, Matthews, NC 28105-1575 | 2013-01-02 |
| 1578648135 | Mark Anthony Lucas | Chiropractor | 1261 Lincoln Ave, 112, San Jose, CA 95125-3006 | 2006-10-25 |
| 1932289865 | Mark C Lucas | Dentist | 10461 Park Meadows Dr, #101, Lone Tree, CO 80124-5306 | 2006-10-16 |
| 1326096207 | Mark S. Lucas | Podiatrist | 2395 Tech Dr, Ste 4, Bettendorf, IA 52722 | 2006-05-04 |
| 1164545497 | Mark T Lucas | Physical Therapist | 5525 Broadway, Merrillville, IN 46410 | 2007-04-10 |
| 1407890882 | Mark A Lucas | Urology | 601 John St, Suite M-206c, Kalamazoo, MI 49007-5341 | 2006-06-15 |
| Street Address |
4170 LENNON RD SUITE C |
| City | FLINT |
| State | MI |
| Zip Code | 48507-1083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607859 | Raymond F Gist | Dentist | 4170 Lennon Rd, Ste A, Flint, MI 48507-1083 | 2005-05-24 |
| 1588766083 | Denise A Polk | Dentist | 4170 Lennon Rd, Suite D, Flint, MI 48507-1083 | 2006-09-04 |
| 1386757391 | Zelton G Johnson | Dentist | 4170 Lennon Rd, Ste B, Flint, MI 48507 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| 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 |
|---|---|---|---|---|
| 1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
| 1790264299 | Miles of Smiles Dentistry | Dentist | 5621 Leslie Ct, Flint, MI 48504-7017 | 2018-08-07 |
| 1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
| 1962952770 | Deluxe Dental | Dentist | 3617 Corunna Rd, Flint, MI 48532-3830 | 2016-10-05 |
| 1376941773 | Deluxe Dental Associates Pllc | Dentist | 3760 S Dort Hwy, Flint, MI 48507 | 2014-12-17 |
| 1982978086 | Dr. Robert A. Davis | Dentist | 2710 W Court St Ste 6, Flint, MI 48503-3061 | 2012-03-07 |
| 1730407602 | Traci Jill Dantzler | Dentist | 4170 Lennon Rd Ste A, Flint, MI 48507-1083 | 2010-05-17 |
| 1053635458 | Mohanad Ballani | Dentist | G3538 Miller Rd, Ste A, Flint, MI 48507-1271 | 2010-03-15 |
| 1457510513 | Yang Luen Shih | Dentist | 932 S Center Rd, Flint, MI 48503-4511 | 2008-06-04 |
| 1407021991 | Mildred Jean Tinker | Dentist | G-4256 S. Linden Rd., Flint, MI 48507-2908 | 2008-04-25 |
| Find all providers in FLINT | ||||
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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.