Individual
DR. PERRON LEE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2496 ROCKY RIDGE RD, VESTAVIA, AL 35243-2850
(205) 822-6669
(205) 822-6656
Mailing address
2496 ROCKY RIDGE RD, VESTAVIA, AL 35243-2850
(205) 822-6669
(205) 822-6656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4550
AL
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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