Individual
DR. JOSEPH COY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
17917 N PORTLAND AVE, EDMOND, OK 73012-8960
(405) 562-7778
(405) 562-7778
Mailing address
3126 S BOULEVARD # 207, EDMOND, OK 73013-5308
(405) 562-7778
(405) 562-7778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5679
OK
Other
Enumeration date
11/28/2008
Last updated
12/03/2020
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