| A W Tucker Dds Pa | |
|
120 South Johnson Street Brevard NC 28712 | |
| (828) 884-2191 | |
| (828) 877-3069 |
| Full Name | A W Tucker Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 120 South Johnson Street, Brevard, North Carolina |
| Authorized Official Name and Position | Augustine Washington Tucker (PRESIDENT) |
| Authorized Official Contact | 8288842191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A W Tucker Dds Pa 120 South Johnson Street Brevard NC 28712 Ph: (828) 884-2191 | A W Tucker Dds Pa 120 South Johnson Street Brevard NC 28712 Ph: (828) 884-2191 |
| NPI Number | 1659439917 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659439917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3617 (North Carolina) | Primary |
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