Individual
DR. NIKKI GIOVONNE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1851 MACGREGOR DOWNS RD, GREENVILLE, NC 27834-5925
(252) 737-7000
Mailing address
PO BOX 602790, CHARLOTTE, NC 28260-2790
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7497
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7497
NC LICENSE
NC
Enumeration date
06/09/2006
Last updated
01/24/2020
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