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DR. LUKE MADDOX DMD
NPI 1154015097
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since June 05, 2023
1395 CENTER DR # D1-40, GAINESVILLE, FL 32610(352) 273-7643 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Luke Maddox Dmd NPPES

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

DR. LUKE MADDOX DMD (NPI 1154015097) is an individual student in an organized health care education/training program in Gainesville, Florida, licensed in Florida (2957) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1154015097
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. LUKE MADDOXCredential: DMD
Location Address1395 CENTER DR # D1-40Gainesville, FL 32610-2005
Mailing AddressPo Box 100426Gainesville, FL 32610-0426
Phone(352) 273-7643
Sole ProprietorNo
Enumeration DateJune 5, 2023
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1154015097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in FL · 2957
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedDentistTaxonomy 122300000X · License 32043 (FL)
1395 CENTER DR # D1-40, Gainesville, FL 32610
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RYAN RICHARD CLANCE DMD
Dentist
1395 CENTER DR # D1-40
GAINESVILLE, FL 32610
Alachua County (352) 273-7643

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 Luke Maddox's NPI number?

The NPI number for Luke Maddox is 1154015097. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Where is Luke Maddox located?

Luke Maddox practices at 1395 Center Dr # D1-40, Gainesville, FL 32610. The listed phone number is (352) 273-7643.

What is Luke Maddox's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Luke Maddox was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.