Individual provider · Type 1 NPI
Alan Charles Tucker, DDS
Oral and Maxillofacial Surgery (Dentist) · Lilburn, GA
NPI number
1457435653
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
About NPI 1457435653
Alan Charles Tucker, DDS's National Provider Identifier is 1457435653, issued on Oct 24, 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 Jul 8, 2007.