Doctor profile · Federal record
Dr. Kevin Lucky, DDS
Dentist · Summersville, WV
- NPI 1104970300
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
832 Broad Street
Summersville, WV 26651
(304) 872-3919
fax (304) 872-4943
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- August 3, 2022
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- West Virginia #3293
- Medicaid
- WV #0134684000
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104970300. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$41
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Envista Holdings Corporation | 1 | $27.41 | |
| Zimvie INC. | 1 | $14.05 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
234
Patients
140
Total drug cost
$836
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 179 | 107 | $588 |
| Chlorhexidine Gluconate | Generic | 33 | 20 | $140 |
| Azithromycin | Generic | 22 | 13 | $108 |
Frequently asked questions
What is Dr. Kevin Lucky's medical specialty?
Dr. Kevin Lucky practices Dentist in Summersville, WV.
Where does Dr. Kevin Lucky practice?
Dr. Kevin Lucky practices at 832 Broad Street, Summersville, WV 26651. Office phone: 3048723919.
What is Dr. Kevin Lucky's NPI?
Dr. Kevin Lucky's National Provider Identifier (NPI) is 1104970300, issued by NPPES.