MEDICARE: LUCIANA CASTRO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2901021271	MI

General Provider Information

NPI Number	:	1710367636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCIANA CASTRO

Provider Business Mailing Address
First Line	:	2143 ORCHARDVIEW DR
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48108
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11745 E MICHIGAN AVE
Second Line	:
City	:	GRASS LAKE
State	:	MI
Zip	:	49240-9219
Country	:	US
Telephone Number	:	517-522-5018
Fax Number	:	517-522-3708

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2015
Last Update Date	:	06/05/2015

Similar Medicare Providers

1871566612 — SALLY A. STOMMEN D.D.S.
Practice Location Address:

11745 E MICHIGAN AVE
GRASS LAKE, MI
49240-9219

Practice Phone: 517-522-5018
Practice Fax: 517-522-3708

1104865633 — JOEL BENJAMIN DINVERNO MD
Practice Location Address:

11755 E MICHIGAN AVE
GRASS LAKE, MI
49240-9219

Practice Phone: 517-522-6100
Practice Fax: 517-522-4715

1922292465 — REBECCA L BOWMAN PT
Practice Location Address:

11755 E MICHIGAN AVE
GRASS LAKE, MI
49240-9219

Practice Phone: 517-234-3430
Practice Fax: 517-234-3430

1023250008 — MS. CHERYL KENNEDY-REUL PT
Practice Location Address:

11755 E MICHIGAN AVE
GRASS LAKE, MI
49240-9219

Practice Phone: 517-234-3430
Practice Fax:

1053674184 — JOEL DINVERNO MD PC
Practice Location Address:

11755 E MICHIGAN AVE
GRASS LAKE, MI
49240-9219

Practice Phone: 517-522-6100
Practice Fax: 517-522-4715

1386388114 — GRASS LAKE DENTAL CENTER PLLC
Practice Location Address:

11745 E MICHIGAN AVE
GRASS LAKE, MI
49240-9219

Practice Phone: 517-522-5018
Practice Fax:

Directions to “ LUCIANA CASTRO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.