Organization
TUCKER FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAYLOR LOGAN TUCKER D.M.D. (PRESIDENT)
(334) 875-0486
Entity
Organization
Contact information
Practice address
2455 MEDICAL CENTER PKWY, SELMA, AL 36701-7756
(334) 872-0486
Mailing address
2455 MEDICAL CENTER PKWY, SELMA, AL 36701-7756
(334) 872-0486
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5723
AL
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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