Individual
DR. DENNIS MAXWELL TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
622 ROOSEVELT RD, STE 180, SAINT CLOUD, MN 56301-6153
(320) 259-5078
Mailing address
622 ROOSEVELT RD 180, SAINT CLOUD, MN 56301-6361
(320) 259-5078
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D11410
MN
Other
Enumeration date
11/21/2006
Last updated
07/05/2015
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