| Tucker Family Dentistry | |
|
2496 Rocky Ridge Rd Vestavia AL 35243-2850 | |
| (205) 822-6669 | |
| (205) 822-6656 |
| Full Name | Tucker Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2496 Rocky Ridge Rd, Vestavia, Alabama |
| Authorized Official Name and Position | Perron Lee Tucker (PRESIDENT) |
| Authorized Official Contact | 2058226669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tucker Family Dentistry 2496 Rocky Ridge Rd Vestavia AL 35243-2850 Ph: (205) 822-6669 | Tucker Family Dentistry 2496 Rocky Ridge Rd Vestavia AL 35243-2850 Ph: (205) 822-6669 |
| NPI Number | 1730309865 |
|---|---|
| Provider Enumeration Date | 04/30/2007 |
| Last Update Date | 08/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730309865 | NPI | - | NPPES |
| 1609206275 | Other | AL | NPPES INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4550 (Alabama) | Primary |
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