BRANDON LUCKETT

Dentist - Orthodontics and Dentofacial Orthopedics

Active Individual
NPI: 1194141895

Practice Address

6540 SOUTH AVE
Boardman, OH 44512

Phone: (330) 758-6165

Specialties

Specialty Code Primary License
Dentist - Orthodontics and Dentofacial Orthopedics 1223X0400X Yes 30803 (TX)

Frequently Asked Questions

NPI 1194141895 is the National Provider Identifier for BRANDON LUCKETT, a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Boardman, OH. This NPI was enumerated on March 5, 2014.
BRANDON LUCKETT practices at 6540 SOUTH AVE, Boardman, OH 44512.

Quick Facts

NPI
1194141895
Type
Individual
Enumerated
Mar 5, 2014
Last Updated
Mar 2, 2025

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