Provider Demographics
NPI:1962426536
Name:LUKIN, STEPHEN P (DDS)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:P
Last Name:LUKIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7417 BRANFORD PL STE 100
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4999
Mailing Address - Country:US
Mailing Address - Phone:281-265-9000
Mailing Address - Fax:281-265-7554
Practice Address - Street 1:7417 BRANFORD PL STE 100
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:281-265-9000
Practice Address - Fax:281-265-7554
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice