Individual provider · Type 1 NPI

Sid Michael Tucker, DDS

Periodontics · Bardonia, NY

NPI number 1932418092 Active

About NPI 1932418092

Sid Michael Tucker, DDS's National Provider Identifier is 1932418092, issued on Oct 6, 2010. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Bardonia, NY. The record was last updated on Oct 6, 2010.