Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradley J Lutchka

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1780654202

Bradley J Lutchka is a Maxillofacial Surgery in Moline, Illinois. Qualified in 1990, 36 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
36
Licensed in
IL
In the registry since
2006

Practice location Address checks out

930 16th Ave
Moline, IL 61265
Phone: (309) 797-1770
Fax: (309) 797-1791
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X (IL)

Record details

NPI number1780654202
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 26, 2006
Last updated in NPPESJuly 13, 2026
Certification dateSeptember 24, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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