Individual
DR. PERRY SHEALY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
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
3469
SC
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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