Organization
TUCKER & ALLEN-JOHNSON DDS PA
Active
Other names
Smile Junction Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKKI GIOVONNE TUCKER DDS (PRESIDENT)
(336) 538-1608
Entity
Organization
Contact information
Practice address
2975 CROUSE LANE, BURLINGTON, NC 27215-8833
(336) 538-1608
Mailing address
2975 CROUSE LANE, BURLINGTON, NC 27215-8833
(336) 538-1608
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7497
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019VY
NORTH CAROLINA HEALTH CHOICE/GROUP
NC
01
—
0902UH
NORTH CAROLINA HEALTH CHOICE/INDIVIDUAL
NC
01
—
092TV
NORTH CAROLINA HEALTH CHOICE/INDIVIDUAL
NC
05
—
89902TV
—
NC
Enumeration date
10/01/2007
Last updated
01/12/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up