Individual
DR. ROBERT JEFFREY TUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
567 PLEASANT ST, BROCKTON, MA 02301-2507
(508) 583-3377
(508) 583-0811
Mailing address
567 PLEASANT ST, BROCKTON, MA 02301-2507
(508) 583-3377
(508) 583-0811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11397
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X04783
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
03/14/2007
Last updated
07/08/2007
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