Organization
KENT N. TUCKER,D.D.S.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT N TUCKER D.D.S (DENTIST)
(336) 368-4708
Entity
Organization
Contact information
Practice address
111 DAVIS ST, PILOT MOUNTAIN, NC 27041
(336) 368-4708
(336) 368-2672
Mailing address
PO BOX 699, PILOT MOUNTAIN, NC 27041-0699
(336) 368-4708
(336) 368-2672
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3509
NC
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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