Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

DR. KAMERON CHARLES LUCKY DDS
NPI 1376460493
Dentist in Summersville, WV

Active since June 30, 2026
832 BROAD ST, SUMMERSVILLE, WV 26651(304) 872-3919 Get Directions Write a Review

NPPES record added: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kameron Charles Lucky Dds NPPES

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

DR. KAMERON CHARLES LUCKY DDS (NPI 1376460493) is an individual dentist in Summersville, West Virginia, licensed in West Virginia (4871) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1376460493
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KAMERON CHARLES LUCKYCredential: DDS
Location Address832 BROAD STSummersville, WV 26651-1758
Mailing Address832 Broad StSummersville, WV 26651-1758 · (304) 872-3919
Sole ProprietorNo
Enumeration DateJune 30, 2026
NPPES CertifiedJune 30, 2026
NPI 1376460493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in WV · 4871
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 ST, Summersville, WV 26651

Other Providers at the Same Location NPPES

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

Clinic/Center (Dental)
832 BROAD ST
SUMMERSVILLE, WV 26651

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 Kameron Lucky's NPI number?

The NPI number for Kameron Lucky is 1376460493. It was assigned to this individual provider in the NPPES registry on June 30, 2026.

Where is Kameron Lucky located?

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

What is Kameron 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 Kameron Lucky was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.