Organization
SCOTT F TUCKER, DDS MS PA
Active
Other names
University Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT F TUCKER DDS (PRESIDENT)
(781) 213-3336
Entity
Organization
Contact information
Practice address
2287 CLOVERDALE AVE, WINSTON SALEM, NC 27103-2301
(704) 547-1970
(704) 547-1926
Mailing address
PO BOX 505117, SAINT LOUIS, MO 63150-5117
(781) 213-3336
(781) 224-4216
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8993101
—
NC
Enumeration date
11/29/2006
Last updated
04/10/2025
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