Randall D Tucker in Andover - Prosthodontics
Randall D Tucker - NPI 1598817694
Randall D Tucker is a Prosthodontics in Andover, Massachusetts. Randall D Tucker practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Randall D Tucker is 1598817694. The last update date is 2007-07-08.
Randall D Tucker's current location address is 166 North Main Street, Andover, Massachusetts. You can contact this provider via phone number 9784758656 and fax number 9784702788. The mailing address for Randall D Tucker is 166 North Main Street, Andover, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall D Tucker |
|---|---|
| Address | 166 North Main Street, Andover, Massachusetts |
| Phone Number | 9784758656 |
| Fax Number | 9784702788 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1598817694 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 166 North Main Street |
|---|---|
| City | Andover |
| State | Massachusetts (MA) |
| Post Code | 1810 |
| Phone Number | 9784758656 |
| Fax Number | 9784702788 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 15913 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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What is the unique identification code assigned to Randall D Tucker by the Centers for Medicare & Medicaid Services?
The Randall D Tucker has been issued the NPI (National Provider Identifier) 1598817694. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Randall D Tucker's physical address?
The Randall D Tucker is physically located at 166 North Main Street, in the city of Andover, MA, with the postal code 1810.
What is the area of specialization for Randall D Tucker, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Randall D Tucker is Prosthodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0700X.
On what date did the Randall D Tucker receive the assignment of its 1598817694 from the Centers for Medicare & Medicaid Services?
The Randall D Tucker was issued its 1598817694 by the Centers for Medicare & Medicaid Services on 2007-01-17.
When was the information pertaining to Randall D Tucker most recently updated or revised?
The details related to Randall D Tucker, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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