Bulk check

Alan C. Tucker, D.D.S., P.C.

Dentist, Oral and Maxillofacial Surgery in Lilburn, GA. Organization (NPI-2).

NPI number1104904036
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1104904036
Entity type
Organization (NPI-2)
Legal business name
Alan C. Tucker, D.D.S., P.C.
Organization subpart
No
Enumeration date
Nov 1, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223S0112X Dentist, Oral and Maxillofacial Surgery10864GAYes

Practice location

639a Beaver Ruin Rd Nw
Lilburn, GA 30047-3401

Phone 770-923-5200 · Fax 770-564-0613

Mailing address

639a Beaver Ruin Rd Nw
Lilburn, GA 30047-3401

Phone 770-923-5200 · Fax 770-564-0613

Authorized official

Alan Charles Tucker
President
7709235200

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Oral and Maxillofacial Surgery (Dentist) providers in Lilburn, GA

All 990 providers in Lilburn

Checking a whole list?

Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check