Stuart W Tucker
Pediatric Dentist
734 Hartness Rd
Statesville
, North Carolina 28677-3425
Stuart W Tucker
Pediatric Dentist
734 Hartness Rd
Statesville
, North Carolina 28677-3425
(208) 242-7110
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Stuart W Tucker
- 319 Bay Harbour Rd
- Mooresville, NC
- Zip : 28117-3507
- Phone : (208) 242-7110
Second Address
- Stuart W Tucker
- 734 Hartness Rd
- Statesville, NC
- Zip : 28677-3425
- Fax : (704) 872-9407
- Phone : (704) 872-6534
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 11921 | NC |
National Provider Identifier
| NPI | 1073001400 |
|---|---|
| Provider Name | Stuart W Tucker |
| First Address | Mooresville, NC 28117-3507 |
| Second Address | Statesville, NC 28677-3425 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2018 |
| Last Update Date | 28/07/2020 |
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.