Organization
TUCKER ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WESLEY TUCKER JR. D.M.D. (PRESIDENT)
(803) 648-3266
Entity
Organization
Contact information
Practice address
1050 SEVEN OAKS DR, AIKEN, SC 29803-4704
(803) 648-3266
(803) 649-3555
Mailing address
1050 SEVEN OAKS DR, AIKEN, SC 29803-4704
(803) 648-3266
(803) 649-3555
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
SC
Other
Enumeration date
09/21/2006
Last updated
07/21/2022
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