Individual
DR. LUKE C VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-7085
Mailing address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-7085
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS041940
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7500
LA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS041940
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
7500
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7500
LA DENTAL LICENCE
LA
01
—
DDS111434
CA DENTAL LICENSE
CA
01
—
DS041940
PA DENTAL LICENSE
PA
01
—
E1333341
DRIVER'S LICENSE
CA
Enumeration date
05/08/2018
Last updated
07/08/2025
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