Steven R. Tucker P.s.c. | |
909 Scherm Rd Owensboro KY 42301-6048 | |
(270) 926-4107 | |
(270) 926-4166 |
Full Name | Steven R. Tucker P.s.c. |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 909 Scherm Rd, Owensboro, Kentucky |
Authorized Official Name and Position | Steven R. Tucker (CEO) |
Authorized Official Contact | 2709264107 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Steven R. Tucker P.s.c. 909 Scherm Rd Owensboro KY 42301-6048 Ph: (270) 926-4107 | Steven R. Tucker P.s.c. 909 Scherm Rd Owensboro KY 42301-6048 Ph: (270) 926-4107 |
NPI Number | 1871718833 |
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Provider Enumeration Date | 04/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871718833 | NPI | - | NPPES |
64044753 | Medicaid | KY | |
60044757 | Medicaid | KY | |
000000208416 | Other | KY | BLUECROSS |
65912016 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4475 (Kentucky) | Primary |
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