Tuck, Robert Jeffrey

Tuck, Robert Jeffrey is an sole proprietor health care provider with primary practice located at 567 Pleasant St , Brockton MA 02301-2507. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tuck, Robert Jeffrey can be contacted via phone (508) 583-3377.

Contact Information

Primary practice address
567 Pleasant St Brockton MA 02301-2507
Phone: (508) 583-3377
Fax: (508) 583-0811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 11397 Massachusetts

Profile Details

NPI number 1285767376
LBN Legal business name Tuck, Robert Jeffrey
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285767376 NPPES
Massachusetts Other X04783 BLUE CROSS BLUE SHIELD MA

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