Individual provider · Type 1 NPI
Ives Henry Tucker, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Brooklyn, NY
Practice location
7105 21st Ave
Brooklyn, NY 11204-5850
Mailing address
4 Williamsburg Ct
East Brunswick, NJ 08816-3249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 037253-1 (NY) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1184748972
Ives Henry Tucker, DDS's National Provider Identifier is 1184748972, issued on Mar 18, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.