Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
TODD S TUCKER
Active
Individual
TODD S TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.,M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
22003
OR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D7325
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190009241
PALMETTO
OR
05
—
288056
—
OR
05
—
295498
—
OR
Enumeration date
07/27/2006
Last updated
03/24/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up