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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427022441 | NPPES |
| North Carolina | MEDICAID | 899853B | |
| North Carolina | Other | 9853B |
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