Dr. Steven R. Tucker
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
800 Rose St Ste D214a
Lexington
, Kentucky 40536-6048
Dr. Steven R. Tucker
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
800 Rose St Ste D214a
Lexington
, Kentucky 40536-6048
(270) 485-2762
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Steven R. Tucker
- 100 Somersly Pl
- Lexington, KY
- Zip : 40515-5717
- Phone : (270) 485-2762
Second Address
- Dr. Steven R. Tucker
- 800 Rose St Ste D214a
- Lexington, KY
- Zip : 40536-6048
- Phone : (270) 485-2762
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 4475 | KY |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 4475 | KY |
National Provider Identifier
| NPI | 1144219643 |
|---|---|
| Provider Name | Dr. Steven R. Tucker |
| First Address | Lexington, KY 40515-5717 |
| Second Address | Lexington, KY 40536-6048 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/10/2005 |
| Last Update Date | 02/04/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000208416 | BCBS (01) | KY |
| 60044757 | (05) | KY |
| 64044753 | (05) | KY |
| 65912016 | (05) | KY |
| T54019 | (02) | KY |
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.