Betty Tucker, D.d.s., Llc | |
6438 Wilmington Pike Ste 205 Centerville OH 45459-7023 | |
(937) 848-1116 | |
Not Available |
Full Name | Betty Tucker, D.d.s., Llc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 6438 Wilmington Pike Ste 205, Centerville, Ohio |
Authorized Official Name and Position | Betty Huang Tucker (PRESIDENT) |
Authorized Official Contact | 4194630023 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Betty Tucker, D.d.s., Llc 8607 Sea Pines Ln Dayton OH 45458-3321 Ph: (419) 463-0023 | Betty Tucker, D.d.s., Llc 6438 Wilmington Pike Ste 205 Centerville OH 45459-7023 Ph: (937) 848-1116 |
NPI Number | 1548788631 |
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Provider Enumeration Date | 09/08/2017 |
Last Update Date | 09/08/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548788631 | NPI | - | NPPES |
0054438 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 30.023424 (Ohio) | Primary |
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