# DR. TATIANA LUCAS, DDS FAMILY DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prime Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467976878
- **Authorized official:** TATIANA O LUCAS DDS (DENTIST OWNER)
- **Authorized official phone:** (724) 547-0690

## Contact information

- **Practice address:** 272 CROSS ROADS PLZ, MOUNT PLEASANT, PA 15666-2288
- **Practice address phone:** (724) 547-0690
- **Mailing address:** 272 CROSSROADS PLZ UNIT 4, MOUNT PLEASANT, PA 15666-2288
- **Mailing address phone:** (724) 547-0690
- **Mailing address fax:** (724) 547-1918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/27/2017
- **Last updated:** 06/17/2020