JEROME M LUKASIK DDS
NPI 1356459267
Dentist - General Practice in Kenosha, WI

Active since August 29, 2006
7117 GREEN BAY RD, KENOSHA, WI 53142(262) 942-7000(262) 942-7117 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerome M Lukasik Dds NPPES

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

JEROME M LUKASIK DDS (NPI 1356459267) is an individual general practice provider in Kenosha, Wisconsin, licensed in Wisconsin (4992-015) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1356459267
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJEROME M LUKASIKCredential: DDS
Location Address7117 GREEN BAY RDKenosha, WI 53142-1450
Mailing Address7117 Green Bay RdKenosha, WI 53142-1450 · (262) 942-7000 · Fax (262) 942-7117
Fax(262) 942-7117
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1356459267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 4992-015
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.
7117 GREEN BAY RD, Kenosha, WI 53142

Other Identifiers 1

Medicaid33749100WI

Other Providers at the Same Location NPPES 15

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

Dentist (Pediatric Dentistry)
7117 GREEN BAY RD
KENOSHA, WI 53142
Dentist (General Practice)
7117 GREEN BAY RD
KENOSHA, WI 53142
Dentist (General Practice)
7117 GREEN BAY RD
KENOSHA, WI 53142
Dentist (General Practice)
7117 GREEN BAY RD
KENOSHA, WI 53142
Dentist (General Practice)
7117 GREEN BAY RD
KENOSHA, WI 53142
Dentist (Oral and Maxillofacial Pathology)
7117 GREEN BAY RD
KENOSHA, WI 53142
Dentist (Prosthodontics)
7117 GREEN BAY RD
KENOSHA, WI 53142
Dentist
7117 GREEN BAY RD
KENOSHA, WI 53142

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 Jerome Lukasik's NPI number?

The NPI number for Jerome Lukasik is 1356459267. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Jerome Lukasik located?

Jerome Lukasik practices at 7117 Green Bay Rd, Kenosha, WI 53142. The listed phone number is (262) 942-7000.

What is Jerome Lukasik'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 Jerome Lukasik was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.