Healthcare Provider Details

I. General information

NPI: 1326734021
Provider Name (Legal Business Name): AARON NICHOLAS LUCKI D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2023
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 TERRACE ST G-32 SALK HALL
PITTSBURGH PA
15213
US

IV. Provider business mailing address

3600 FORBES AVENUE TOWER-PLAZA LEVEL SUITE 140
PITTSBURGH PA
15213
US

V. Phone/Fax

Practice location:
  • Phone: 412-648-8604
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License Number30.027767
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: