Davidson- Tucker Oral Surgery Associates
LBN: Davidson- Tucker Oral Surgery Associates
Davidson- Tucker Oral Surgery Associates is an health care organization with primary practice located at 17 Arentzen Blvd Suite #104, Charleroi PA 15022-1085. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Davidson- Tucker Oral Surgery Associates can be contacted via phone (724) 483-5080, or through Tucker, Charles Peter via phone (724) 483-5080.
Contact Information
Primary practice address
17 Arentzen Blvd Suite #104
Charleroi PA 15022-1085
Phone: (724) 483-5080
Fax: (724) 483-3760
Website:
Authorized official contact:
Name: Tucker, Charles Peter Doctor of Dental Medicine (DMD)
Phone: (724) 483-5080
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DS026650-L | Pennsylvania |
Profile Details
NPI number | 1629007505 |
---|---|
LBN Legal business name | Davidson- Tucker Oral Surgery Associates |
DBA Doing business as | |
Authorized official | Tucker, Charles Peter Doctor of Dental Medicine (DMD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 2nd, 2006 |
Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629007505 | NPPES |
Pennsylvania | MEDICAID | 0525357 |
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