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

Tristan Grant Lucky

Individual provider General Practice Dentistry · NPI 1316873821

Tristan Grant Lucky is a General Practice Dentistry in Beckley, West Virginia. Works from 2 locations. Licensed in West Virginia.

Licensed in
WV
In the registry since
2026

Practice location Address checks out

1110 Johnstown Rd
Beckley, WV 25801-4942
Phone: (304) 255-0717
Show map & directions

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

Additional practice locations (1)

  • 832 Broad St, Summersville, WV 26651-1758 — (304) 644-5382

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4872 (WV)

Record details

NPI number1316873821
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 22, 2026
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address832 Broad St, Summersville, WV 26651-1758

Other providers in Beckley