Individual provider · Type 1 NPI

Shavon Tucker, DDS

Dentist · Milwaukee, WI

NPI number 1316780422 Active

Practice location

2555 N Dr Martin Luther King Jr Dr
Milwaukee, WI 53212-2709

Call (414) 267-2670 Map

Fax (414) 562-8432

Other practice locations

  • 1153 NE Rice Rd, Lees Summit, MO 64086-6788 · (816) 477-7070
  • 8200 W Silver Spring Dr, Milwaukee, WI 53218-2552 · (414) 267-2671

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X2024022265 (MO)
General Practice Dentistry 1223G0001X6001651-15 (WI)
Dentist Primary 122300000X6001651-15 (WI)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1316780422

Shavon Tucker, DDS's National Provider Identifier is 1316780422, issued on Jun 17, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 17, 2025.