Individual
DR. JOHN WESLEY TUCKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
3142 442
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
442
SC
Other
Enumeration date
08/16/2006
Last updated
10/16/2015
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