IndividualActive
Bradley Lutchka
NPI 1780654202 · Oral and Maxillofacial Surgery (Dentist) · Moline, IL
Provider details
- NPI number
- 1780654202
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Sex
- Male
Specialties & taxonomies
Dental Providers
Practice location
930 16th Ave
Moline, IL 61265
Phone: (309) 797-1770
Fax: (309) 797-1791
Approximate (ZIP-level) locationGet directions
Mailing address
930 16th Ave
Moline, IL 61265
Registry dates
- Enumerated
- 2006-01-26
- Last updated
- 2020-09-24
- Certified
- 2020-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.