# LUIKHAM DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295128155
- **Authorized official:** GEORGE T LUIKHAM DDS (OWNER/DENTIST)
- **Authorized official phone:** (956) 583-1000

## Contact information

- **Practice address:** 2605 W MILE 5 RD STE 1, MISSION, TX 78574-0968
- **Practice address phone:** (956) 583-1000
- **Practice address fax:** (956) 583-8000
- **Mailing address:** 2605 W MILE 5 RD STE 1, MISSION, TX 78574-0968
- **Mailing address phone:** (956) 583-1000
- **Mailing address fax:** (956) 583-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 26420 | TX | Yes |

## Other

- **Enumeration date:** 03/16/2015
- **Last updated:** 03/16/2015