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NPI Code Detail

MEDICARE: DR. LUCAS S REED DDS

MEDICARE:  DR. LUCAS S REED  DDS
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
11223S0112XOral and Maxillofacial Surgery (Dentist)12011774AIN
2204E00000XOral & Maxillofacial Surgery (D.M.D.)12011774AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033366711
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUCAS S REED DDS
Provider Business Mailing Address
First Line : 7845 CARNEGIE BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-5792
Country : US
Telephone Number : 260-423-2340
Fax Number : 260-969-4118
Provider Business Practice Location Address
First Line : 7845 CARNEGIE BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-5792
Country : US
Telephone Number : 260-423-2340
Fax Number : 260-969-4109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2008
Last Update Date : 01/15/2026

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Directions to “ DR. LUCAS S REED DDS” Practice Location

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