Tucker, Jonathan Daniel
Tucker, Jonathan Daniel is an individual health care provider with primary practice located at 10703 E. Crystal Falls Pkwy , Leander TX 78641-2259. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tucker, Jonathan Daniel can be contacted via phone (512) 260-9333.Contact Information
Primary practice address
10703 E. Crystal Falls Pkwy
Leander TX 78641-2259
Phone: (512) 260-9333
Fax: (512) 260-9331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22102 | Texas |
Profile Details
| NPI number | 1831252840 |
|---|---|
| LBN Legal business name | Tucker, Jonathan Daniel |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | May 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831252840 | NPPES |
| Texas | MEDICAID | 173246301 |
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