IndividualActive
Allicia Lucich, DMD
NPI 1740954072 · Dentist · Fort Gordon, GA
Provider details
- NPI number
- 1740954072
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 12371717-9921 (UT)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
USA Dentac
Fort Gordon, GA 30905
Phone: (706) 544-2051
Approximate (ZIP-level) locationGet directions
Mailing address
4110 Buffalo Trl
Evans, GA 30809-0959
Additional practice locations (1)
- 2054 Warrior WayGrovetown, GA 30813-8132Phone: (706) 664-0744
Registry dates
- Enumerated
- 2021-08-02
- Last updated
- 2025-11-25
- Certified
- 2025-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.