TRISTAN GRANT LUCKY
NPI 1316873821
Dentist - General Practice in Beckley, WV

Active since June 22, 2026
1110 JOHNSTOWN RD, BECKLEY, WV 25801(304) 255-0717 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tristan Grant Lucky NPPES

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

TRISTAN GRANT LUCKY (NPI 1316873821) is an individual general practice provider in Beckley, West Virginia, licensed in West Virginia (4872) and active in the NPI registry since June 2026. He maintains a secondary practice location in Summersville.

NPPES Registry Identity

NPI1316873821
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTRISTAN GRANT LUCKY
Location Address1110 JOHNSTOWN RDBeckley, WV 25801-4942
Mailing Address832 Broad StSummersville, WV 26651-1758 · (304) 644-5382
Sole ProprietorNo
Enumeration DateJune 22, 2026
NPPES CertifiedJune 22, 2026
NPI 1316873821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WV · 4872
Definition

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.

1110 JOHNSTOWN RD, Beckley, WV 25801

Secondary Practice Location 1

Location 1832 Broad StSummersville, WV 26651-1758 · Phone (304) 644-5382

Other Providers at the Same Location NPPES

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

Dentist (Endodontics)
1110 JOHNSTOWN RD
BECKLEY, WV 25801

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 Tristan Lucky's NPI number?

The NPI number for Tristan Lucky is 1316873821. It was assigned to this individual provider in the NPPES registry on June 22, 2026.

Where is Tristan Lucky located?

Tristan Lucky practices at 1110 Johnstown Rd, Beckley, WV 25801. The listed phone number is (304) 255-0717.

What is Tristan Lucky's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Tristan Lucky was last updated on June 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.