Tucker, Myron R

Tucker, Myron R is an individual health care provider with primary practice located at 411 Billingsley Rd Suite 105, Charlotte NC 28211-1066. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Tucker, Myron R can be contacted via phone (704) 347-3900.

Contact Information

Primary practice address
411 Billingsley Rd Suite 105 Charlotte NC 28211-1066
Phone: (704) 347-3900
Fax: (704) 347-0133
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5193 North Carolina

Profile Details

NPI number 1427022441
LBN Legal business name Tucker, Myron R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Oct 17th, 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 1427022441 NPPES
North Carolina MEDICAID 899853B
North Carolina Other 9853B

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