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PERRON L TUCKER DMD PC NPI 1730309865


NPI Information

NPI: 1730309865
Provider Name: PERRON L TUCKER DMD PC

Doing Business As: TUCKER FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2496 ROCKY RIDGE RD
VESTAVIA, AL
ZIP 35243
Phone: (205) 822-6669
Get Directions

PERRON L TUCKER DMD PC is a general practice dentist in Vestavia, AL. The provider is 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. PERRON L TUCKER DMD PC NPI is 1730309865. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tucker Family Dentistry.

The provider's business location address is:

2496 ROCKY RIDGE RD
VESTAVIA, AL
ZIP 35243-850
Phone: (205) 822-6669
Fax: (205) 822-6656

The provider's authorized official is Perron Lee Tucker .
The authorized official title is President and has the following contact phone number (205) 822-6669.

The enumeration date for this NPI number is 4/30/2007 and was last updated on 8/11/2015.


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
11223G0001XDentistGeneral Practice4550ALABAMAYes

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
11609206275OTHERALABAMANPPES INDIVIDUAL NPI

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: 11/14/2023

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