P Praxis·MD
● Active Type 1 · Individual

DR. Allicia Lucich, DMD

Dentist·Fort Gordon, GA· NPI 1740954072 · Enumerated 2021 · 4 years on NPI
Lucich is 1 of 16 dentist providers in Fort Gordon and 1 of 2660 in Georgia.
NPI age
4 years
Enumerated 2021-08-02
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, UT
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-11-25
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
4 years
↓ 10 yr below median (14 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-08Enumerated in NPPES
2021 2026

Where they practice

Practice location
Usa Dentac
Fort Gordon, GA 30905
📞 7065442051
Mailing address
4110 Buffalo Trl
Evans, GA 308090959
📞 5304159862

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2054 Warrior Way
Grovetown, GA 308138132
📞 7066640744

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    GA license #DN122566 taxonomy 122300000X
  • Dentist
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    UT license #12371717-9921 taxonomy 1223G0001X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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