Luke David Vickers, DDS - Dentist in Plymouth, MN

Luke David Vickers, DDS is a Dentist - Oral And Maxillofacial Surgery based in Plymouth, Minnesota. Luke David Vickers is licensed to practice in California (license number 103524) and his current practice location is 3405 Vicksburg Ln N Ste 120, Plymouth, Minnesota. He can be reached at his office (for appointments etc.) via phone at (760) 859-6032.

NPI number for Luke David Vickers is 1700388014 and his current mailing address is Po Box 572, Escondido, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700388014.

Contact Information

Luke David Vickers, DDS
3405 Vicksburg Ln N Ste 120,
Plymouth, MN 55447-1370
(760) 859-6032
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLuke David Vickers
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location3405 Vicksburg Ln N Ste 120, Plymouth, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700388014
  • Provider Enumeration Date: 03/02/2018
  • Last Update Date: 08/22/2024

Medical Identifiers

Medical identifiers for Luke David Vickers such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700388014NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery DT-2960 (Hawaii)Secondary
1223S0112XDentist - Oral And Maxillofacial Surgery D15159 (Minnesota)Secondary
1223S0112XDentist - Oral And Maxillofacial Surgery 018.002073 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
1223S0112XDentist - Oral And Maxillofacial Surgery 103524 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Luke David Vickers is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Luke David Vickers, DDS
Po Box 572,
Escondido, CA 92033-0572

Ph: (760) 859-6032
Luke David Vickers, DDS
3405 Vicksburg Ln N Ste 120,
Plymouth, MN 55447-1370

Ph: (760) 859-6032

Reviews and Comments


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