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

Dr. Kathleen Marie Lucking, DDS

Individual provider Dentist · NPI 1912345042

Dr. Kathleen Marie Lucking, DDS is a Dentist in Port Orange, Florida. Licensed in Florida and Illinois. Registered with an NPI since 2013.

Licensed in
FL, IL
In the registry since
2013
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

5400 Coraci Blvd Apt 6102
Port Orange, FL 32128-7576
Phone: (989) 708-1384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN24377 (FL)
Dentist Taxonomy 122300000X · Licence 019029445 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912345042
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 11, 2013
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021

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