Individual
STUART W TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
734 HARTNESS RD, STATESVILLE, NC 28677-3425
(704) 872-6534
(704) 872-9407
Mailing address
319 BAY HARBOUR RD, MOORESVILLE, NC 28117-3507
(208) 242-7110
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11921
NC
Other
Enumeration date
05/01/2018
Last updated
07/28/2020
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