Individual
DR. J RHET TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901019477
MI
1223P0700X
Prosthodontics
2901019477
MI
1223P0700X
Prosthodontics
8593
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12424039-9921
UT
Other
Enumeration date
10/20/2006
Last updated
07/29/2024
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