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
Fax: (724) 483-3760
Website:
Authorized official contact:
Name: Tucker, Charles Peter Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629007505 NPPES
Pennsylvania MEDICAID 0525357

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