Tucker, Gary Roderick

Tucker, Gary Roderick is an individual health care provider with primary practice located at 5501 Fortunes Ridge Dr Ste H , Durham NC 27713-6102. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Tucker, Gary Roderick can be contacted via phone (919) 493-8944.

Contact Information

Primary practice address
5501 Fortunes Ridge Dr Ste H Durham NC 27713-6102
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 8189 North Carolina

Profile Details

NPI number 1730320433
LBN Legal business name Tucker, Gary Roderick
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2009
Last updated Mar 10th, 2009 - about 15 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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