Dr. Fred Tucker Mcdonald
Orthodontists
3900 S Olive St
Pine Bluff
, Arkansas 71603-6745
Dr. Fred Tucker Mcdonald
Orthodontists
3900 S Olive St
Pine Bluff
, Arkansas 71603-6745
(870) 536-6430
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Fred Tucker Mcdonald
- 3900 S Olive St
- Pine Bluff, AR
- Zip : 71603-6745
- Phone : (870) 536-6430
Second Address
- Dr. Fred Tucker Mcdonald
- 3900 S Olive St
- Pine Bluff, AR
- Zip : 71603-6745
- Phone : (870) 536-6430
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 1983 | AR |
National Provider Identifier
| NPI | 1023159332 |
|---|---|
| Provider Name | Dr. Fred Tucker Mcdonald |
| First Address | Pine Bluff, AR 71603-6745 |
| Second Address | Pine Bluff, AR 71603-6745 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/02/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.