Individual
LUCAS JOSEPH WINDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 6TH AVE N, BESSEMER, AL 35020-4849
(205) 423-2031
Mailing address
2850 VENICE RD APT 7105, BIRMINGHAM, AL 35211-7027
(843) 696-7295
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D.007454-C1
AL
122300000X
Dentist
DGD.11141
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DGD.11141
SOUTH CAROLINA DENTAL LICENSE
SC
Enumeration date
06/16/2025
Last updated
06/27/2026
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