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KEVIN C. LUCKY DDS PLLC
NPI 1235258757
Clinic/Center - Dental in Beckley, WV

Active since March 28, 2007
1110 JOHNSTOWN ROAD, BECKLEY, WV 25801(304) 255-0717(304) 255-0956 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin C. Lucky Dds Pllc NPPES

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

KEVIN C. LUCKY DDS PLLC (NPI 1235258757) is a healthcare organization registered as a dental in Beckley, West Virginia and active in the NPI registry since March 2007. The organization lists Kevin Charlie Lucky, Owner, as its authorized official.

NPPES Registry Identity

NPI1235258757
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKEVIN C. LUCKY DDS PLLC
Location Address1110 JOHNSTOWN ROADBeckley, WV 25801
Mailing Address832 Broad StreetSummersville, WV 26651 · (304) 872-3919 · Fax (304) 872-4043
Phone(304) 255-0717
Fax(304) 255-0956
Organization SubpartNo
Authorized OfficialKevin Charlie LuckyOwner · (304) 872-3919
Enumeration DateMarch 28, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1235258757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1110 JOHNSTOWN ROAD, Beckley, WV 25801
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Other Identifiers 2

Other1104970300Indv. Npi
Medicaid3810007754WV

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. CHRISTOPHER NICOLA MORABITO DDS
Dentist (General Practice)
1110 JOHNSTOWN ROAD
BECKLEY, WV 25801
Raleigh County (304) 255-0717

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 C. Lucky Dds PLLC's NPI number?

The NPI number for Kevin C. Lucky Dds PLLC is 1235258757. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Kevin C. Lucky Dds PLLC located?

Kevin C. Lucky Dds PLLC is located at 1110 Johnstown Road, Beckley, WV 25801. The listed phone number is (304) 255-0717.

What is Kevin C. Lucky Dds PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Kevin C. Lucky Dds PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.