Organization
OAK GROVE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN D. LUCAS D.M.D. (DOCTOR)
(601) 264-0537
Entity
Organization
Contact information
Practice address
6657 U S HIGHWAY 98, HATTIESBURG, MS 39402-8442
(601) 264-0537
(601) 268-7395
Mailing address
6657 U S HIGHWAY 98, HATTIESBURG, MS 39402-8442
(601) 264-0537
(601) 268-7395
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
249689
MS
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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