Individual provider · Type 1 NPI
Randall D. Tucker, DMD
Prosthodontics · Andover, MA
NPI number
1598817694
Active
Practice location
166 North Main Street
Andover, MA 01810
Fax (978) 470-2788
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 15913 (MA) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
About NPI 1598817694
Randall D. Tucker, DMD's National Provider Identifier is 1598817694, issued on Jan 17, 2007. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Andover, MA. The record was last updated on Jul 8, 2007.