Individual
JEFFREY MICHAEL LUCHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8305 FALLS OF NEUSE RD STE 105, RALEIGH, NC 27615-3546
(717) 576-0372
Mailing address
8305 FALLS OF NEUSE RD STE 105, RALEIGH, NC 27615-3546
(717) 576-0372
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
018.002141
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
019.032918
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
12613
NC
Other
Enumeration date
03/31/2020
Last updated
06/24/2024
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