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BETTY HUANG TUCKER DDS NPI 1710215819


NPI Information

NPI: 1710215819
Provider Name: BETTY HUANG TUCKER, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
2200 OLYMPIC ST
SPRINGFIELD, OH
ZIP 45503
Phone: (937) 390-0493
Get Directions

Betty Huang Tucker, DDS is a pediatric dentistry dentist in Springfield, OH. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Betty Huang Tucker, DDS NPI is 1710215819. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2200 OLYMPIC ST
SPRINGFIELD, OH
ZIP 45503-858
Phone: (937) 390-0493

The enumeration date for this NPI number is 12/1/2009 and was last updated on 9/30/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist9005KENTUCKYNo
21223P0221XDentistPediatric Dentistry9005KENTUCKYNo
31223P0221XDentistPediatric Dentistry30-023424OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10054438MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.