Organization
ALAN C. TUCKER, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN CHARLES TUCKER D.D.S. (PRESIDENT)
(770) 923-5200
Entity
Organization
Contact information
Practice address
639A BEAVER RUIN RD NW, LILBURN, GA 30047-3401
(770) 923-5200
(770) 564-0613
Mailing address
639A BEAVER RUIN RD NW, LILBURN, GA 30047-3401
(770) 923-5200
(770) 564-0613
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10864
GA
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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