Individual
DR. GERALD W TUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
900 10TH AVE NW, GREAT FALLS, MT 59404-1747
(406) 761-1365
Mailing address
900 10TH AVE NW, GREAT FALLS, MT 59404-1747
(406) 761-1365
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1562
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11-5570
—
MT
01
—
4029
BLUS CROSS BLUE SHIELD
MT
01
—
94276
DELTA DENTAL
MT
Enumeration date
08/31/2006
Last updated
07/08/2007
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