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DR. KEVIN CHARLES LUCKY DDS
NPI 1104970300
Dentist in Summersville, WV

Active since January 23, 2007
832 BROAD STREET, SUMMERSVILLE, WV 26651(304) 872-3919(304) 872-4943 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kevin Charles Lucky Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN CHARLES LUCKY DDS (NPI 1104970300) is an individual dentist in Summersville, West Virginia, licensed in West Virginia (3293) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1104970300
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KEVIN CHARLES LUCKYCredential: DDS
Location Address832 BROAD STREETSummersville, WV 26651
Mailing Address832 Broad StreetSummersville, WV 26651 · (304) 872-3919 · Fax (304) 872-4943
Phone(304) 872-3919
Fax(304) 872-4943
Sole ProprietorNo
Enumeration DateJanuary 23, 2007
Last NPPES UpdateAugust 3, 2022
NPPES CertifiedAugust 3, 2022
✔ NPI 1104970300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WV · 3293
Definition
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.
832 BROAD STREET, Summersville, WV 26651
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Other Identifiers 1

Medicaid0134684000WV

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Lucky's NPI number?

The NPI number for Kevin Lucky is 1104970300. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Kevin Lucky located?

Kevin Lucky practices at 832 Broad Street, Summersville, WV 26651. The listed phone number is (304) 872-3919.

What is Kevin Lucky's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Kevin Lucky was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.