Organization · Type 2 NPI
Alan C. Tucker, D.d.s., P.c.
Oral and Maxillofacial Surgery (Dentist) · Lilburn, GA
NPI number
1104904036
Active
Practice location
639A Beaver Ruin Rd NW
Lilburn, GA 30047-3401
Fax (770) 564-0613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 10864 (GA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Lilburn
About NPI 1104904036
Alan C. Tucker, D.d.s., P.c.'s National Provider Identifier is 1104904036, issued on Nov 1, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lilburn, GA. The record was last updated on Aug 22, 2020.