| Jason Tucker Dds Pllc | |
|
2718 E 57th Ave Spokane WA 99223-6605 | |
| (509) 448-5888 | |
| Not Available |
| Full Name | Jason Tucker Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2718 E 57th Ave, Spokane, Washington |
| Authorized Official Name and Position | Jason R Tucker (DENTIST) |
| Authorized Official Contact | 5094485888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Tucker Dds Pllc 2718 E 57th Ave Spokane WA 99223-6605 Ph: (509) 448-5888 | Jason Tucker Dds Pllc 2718 E 57th Ave Spokane WA 99223-6605 Ph: (509) 448-5888 |
| NPI Number | 1407309909 |
|---|---|
| Provider Enumeration Date | 08/01/2016 |
| Last Update Date | 08/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407309909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 60111978 (Washington) | Primary |
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