DR. KATHLEEN MARIE LUCKING D.D.S.
NPI 1912345042
Dentist in Port Orange, FL

Q: What is Kathleen Lucking's NPI number?

The NPI number for Kathleen Lucking is 1912345042. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Q: What is Kathleen Lucking's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Lucking was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 11, 2013

5400 CORACI BLVD APT 6102, PORT ORANGE, FL 32128(989) 708-1384 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Kathleen Marie Lucking D.d.s. NPPES

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

DR. KATHLEEN MARIE LUCKING D.D.S. (NPI 1912345042) is an individual dentist in Port Orange, Florida, licensed in Florida (DN24377) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1912345042

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. KATHLEEN MARIE LUCKINGCredential: D.D.S.

Location Address5400 CORACI BLVD APT 6102Port Orange, FL 32128-7576

Mailing Address5400 Coraci Blvd Apt 6102Port Orange, FL 32128-7576 · (989) 708-1384

Phone(989) 708-1384

Sole ProprietorNo

Enumeration DateJune 11, 2013

Last NPPES UpdateAugust 27, 2021

NPPES CertifiedAugust 27, 2021

✔ NPI 1912345042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in FL · DN24377✔ Licensed in IL · 019029445

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5400 CORACI BLVD APT 6102, Port Orange, FL 32128

Open in Google Maps ↗

Other Identifiers 1

Medicaid14430849FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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 Kathleen Lucking's NPI number?

The NPI number for Kathleen Lucking is 1912345042. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Where is Kathleen Lucking located?

Kathleen Lucking practices at 5400 Coraci Blvd Apt 6102, Port Orange, FL 32128. The listed phone number is (989) 708-1384.

What is Kathleen Lucking's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Kathleen Lucking accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 4 other insurers list Kathleen Lucking as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Lucking was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.