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Individual

TUCKER JORDAN COFFEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
215 ROANOKE ST, CHRISTIANSBURG, VA 24073-3025
(540) 381-0820
Mailing address
313 JEFFRIES DR, RADFORD, VA 24141-3300

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401419983
VA

Other

Enumeration date
05/14/2026
Last updated
05/14/2026
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