TRENT TUCKER D.D.S. NPI 1336373679

NPI Information

Trent Tucker, D.D.S. is an oral and maxillofacial surgery dentist in Dayton, OH. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Trent Tucker, D.D.S. NPI is 1336373679. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7325 FAR HILLS AVE
DAYTON, OH
ZIP 45459-415
Phone: (937) 439-1606

The NPI 1336373679 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/14/2009 and was last updated on 4/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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