Individual provider · Type 1 NPI

Karen Ann Tucker, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Omaha, NE

NPI number 1871889154 Active

Practice location

111 N 175th St Ste 1600
Omaha, NE 68118-0017

Mailing address

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X8902 (SC)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X40651 (SC)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X29274 (NE)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X6958 (NE)

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.

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About NPI 1871889154

Karen Ann Tucker, DDS, MD's National Provider Identifier is 1871889154, issued on Jun 24, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Omaha, NE. The record was last updated on Aug 8, 2020.