Provider Demographics
NPI:1043431778
Name:KARL I. LUTES, D.M.D., P.L.L.C.
Entity type:Organization
Organization Name:KARL I. LUTES, D.M.D., P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:I
Authorized Official - Last Name:LUTES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:859-426-9700
Mailing Address - Street 1:225 THOMAS MORE PKWY
Mailing Address - Street 2:
Mailing Address - City:CRESTVIEW HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-3423
Mailing Address - Country:US
Mailing Address - Phone:859-426-9700
Mailing Address - Fax:
Practice Address - Street 1:225 THOMAS MORE PKWY
Practice Address - Street 2:
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-3423
Practice Address - Country:US
Practice Address - Phone:859-426-9700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY61131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty