Dr. Angel Sierra Tucker, DDS
Dentist in Washington, DC. Individual provider (NPI-1).
NPI number1407407232
StatusActive
Last updated in NPPESAug 27, 2024
Details
- NPI
- 1407407232
- Entity type
- Individual (NPI-1)
- Name
- Dr. Angel Sierra Tucker
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2019
- Certification date
- Aug 27, 2024
- Last updated
- Aug 27, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 7030 | LA | Yes |
| 1223G0001X | Dentist, General Practice | 7030 | LA |
Practice location
55 M St Se Ste 103Washington, DC 20003-3563
Phone 225-223-9692
Mailing address
3020 14th St NwWashington, DC 20009-6865
Other practice locations
1712 I St Nw Ste 812
Washington, DC 20006-3739
Washington, DC 20006-3739
Phone 202-223-3536
1147 20th St Nw Ste B1
Washington, DC 20036-3426
Washington, DC 20036-3426
Phone 202-978-3200
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