# KENT N. TUCKER,D.D.S.,P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851510291
- **Authorized official:** DR. KENT N TUCKER D.D.S (DENTIST)
- **Authorized official phone:** (336) 368-4708

## Contact information

- **Practice address:** 111 DAVIS ST, PILOT MOUNTAIN, NC 27041
- **Practice address phone:** (336) 368-4708
- **Practice address fax:** (336) 368-2672
- **Mailing address:** PO BOX 699, PILOT MOUNTAIN, NC 27041-0699
- **Mailing address phone:** (336) 368-4708
- **Mailing address fax:** (336) 368-2672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3509 | NC | Yes |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 08/22/2020