Michael Randolph Tucker in Winnsboro - Dentist
Michael Randolph Tucker - NPI 1962554535
Michael Randolph Tucker is a Dentist in Winnsboro, Louisiana. Michael Randolph Tucker practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael Randolph Tucker is 1962554535. The last update date is 2007-07-08.
Michael Randolph Tucker's current location address is 502 Prairie, Winnsboro, Louisiana. You can contact this provider via phone number 3184356155 and fax number 3184356155. The mailing address for Michael Randolph Tucker is 502 Prairie, Winnsboro, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Randolph Tucker |
|---|---|
| Address | 502 Prairie, Winnsboro, Louisiana |
| Phone Number | 3184356155 |
| Fax Number | 3184356155 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1962554535 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 502 Prairie |
|---|---|
| City | Winnsboro |
| State | Louisiana (LA) |
| Post Code | 71295 |
| Phone Number | 3184356155 |
| Fax Number | 3184356155 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2162 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1821624 | LA | -- |
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What is the unique 10-digit identifier code issued to Michael Randolph Tucker by the Centers for Medicare & Medicaid Services?
The Michael Randolph Tucker has been assigned the NPI (National Provider Identifier) 1962554535 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Michael Randolph Tucker is located?
The Michael Randolph Tucker is situated at the following address: 502 Prairie, Winnsboro, LA, 71295.
What is the Michael Randolph Tucker's specialty and taxonomy code?
The Michael Randolph Tucker's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1962554535 to Michael Randolph Tucker?
The Michael Randolph Tucker received its 1962554535 assignment from the Centers for Medicare & Medicaid Services on 2007-01-17.
When was the information regarding Michael Randolph Tucker most recently updated?
The details pertaining to the Michael Randolph Tucker, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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