Individual
DR. WILLIAM E LUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11 SECURITY DR, JACKSON, TN 38305-3626
(731) 668-3532
Mailing address
11 SECURITY DR, JACKSON, TN 38305-3626
(731) 668-3532
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
001380
TN
Other
Enumeration date
07/06/2006
Last updated
09/06/2007
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