Dr. Shawn Anthony Luck, DDS
Dentist, General Practice in Dallas, TX. Individual provider (NPI-1).
NPI number1841929338
StatusActive
Last updated in NPPESSep 6, 2023
Details
- NPI
- 1841929338
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shawn Anthony Luck
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2022
- Certification date
- Sep 6, 2023
- Last updated
- Sep 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 38615 | TX | Yes |
Practice location
6243 Retail Rd Ste 100Dallas, TX 75231-7845
Phone 214-368-3384
Mailing address
8213 Meadow Rd Apt 3205Dallas, TX 75231-3850
Phone 575-637-1953
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