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DR. DENNIS MAXWELL TUCKER D.D.S. NPI 1962577338


NPI Information

NPI: 1962577338
Provider Name: DR. DENNIS MAXWELL TUCKER, D.D.S.
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

PECOS Registration: Yes

Address:
622 ROOSEVELT RD
STE 180
SAINT CLOUD, MN
ZIP 56301
Phone: (320) 259-5078
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DR. Dennis Maxwell Tucker, D.D.S. is an endodontics dentist in Saint Cloud, MN. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. Dennis Maxwell Tucker, D.D.S. NPI is 1962577338. 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:

622 ROOSEVELT RD
STE 180
SAINT CLOUD, MN
ZIP 56301-153
Phone: (320) 259-5078

The NPI 1962577338 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.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 7/5/2015.


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
11223E0200XDentistEndodonticsD11410MINNESOTAYes

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

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