Individual
DR. JOHN WADE TUCKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4129 SOUTH FIRST ST, MILAN, TN 38358
(731) 686-3956
(731) 723-4067
Mailing address
PO BOX 506, 4129 SOUTH FIRST STREET, MILAN, TN 38358
(731) 686-3956
(731) 723-4067
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
TN4052
TN
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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