Organization

Karen Bryant Luckett,dmd,pllc

Dental Clinic/Center in Mccomb, MS(View on Map)

Legal Business Name

Karen Bryant Luckett,dmd,pllc

NPI Number

1386051993

NPI Type

Organization

Enumeration Date

07/15/2014

Specialties

(Taxonomies)

Code

261QD0000X

Primary Taxonomy

Yes

Licenses

State

Mississippi

License Number

2664-92

Contact
Information

Purpose

Mailing
Location

Address

1121B DELAWARE AVE
1121B DELAWARE AVE

City

Mccomb
Mccomb

State

MS
MS

Postal Code

39648-3829
39648-3829

Country

US
US

Telephone Number

(601) 684-3966
(601) 684-3966

Authorized Official

Name

Dr. Karen Luckett

Title or Position

OWNER/MEMBER

Telephone Number

(601) 684-3966

Identifiers

Identifier

00660074

Identifier State

MS

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/12/2016

Provider Address