Individual provider · Type 1 NPI

Perry Shealy Tucker, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Aiken, SC

NPI number 1780690669 Active

Practice location

1050 Seven Oaks Dr
Aiken, SC 29803-4704

Fax (803) 649-3555

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X3469 (SC)

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 1780690669

Perry Shealy Tucker, DMD's National Provider Identifier is 1780690669, issued on Jul 31, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Aiken, SC. The record was last updated on Jul 8, 2007.