Individual
DR. KENT N TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 DAVIS ST, PILOT MOUNTAIN, NC 27041
(336) 368-4708
(336) 368-2672
Mailing address
111 DAVIS ST, PO BOX 699, PILOT MOUNTAIN, NC 27041
(336) 368-4708
(336) 368-2672
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3509
NC
Other
Enumeration date
06/09/2005
Last updated
07/08/2007
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