Individual
DR. ALVERVICA WHITFIELD LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3804 HOSPITAL ST, PASCAGOULA, MS 39581-4167
(228) 696-2611
(228) 696-2675
Mailing address
3804 HOSPITAL ST, FAMILY DENTAL CARE, PASCAGOULA, MS 39581-4167
(228) 696-2611
(228) 696-2675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
298197
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660227
—
MS
Enumeration date
10/11/2006
Last updated
03/19/2014
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