Individual
PEYTON ROSE TUCCINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
605 RANDOLPH RD, FORT SILL, OK 73503-4535
(508) 654-5561
Mailing address
3501 E GORE BLVD APT 1224, LAWTON, OK 73501-6861
(508) 654-5561
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS045164
PA
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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