Individual
DR. MARK STEPHEN LUCIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3020 S RESERVE ST STE D, MISSOULA, MT 59801-7652
(065) 417-3374
Mailing address
955 MAIN ST, SANFORD, ME 04073-3574
(508) 757-1727
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
20821
MA
1223P0221X
Pediatric Dentistry
2882
RI
1223P0221X
Pediatric Dentistry
3822
ME
1223P0221X
Pediatric Dentistry
Primary
DEN-DEN-LIC-28425
MT
Other
Enumeration date
11/15/2006
Last updated
06/25/2025
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