DR. CHARLES PETER TUCKER (NPI# 1073581732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073581732 |
| Entity Type | Individual |
| Full Name | DR. CHARLES PETER TUCKER |
| Credential | D.M.D. |
| Practice Address |
17 Arentzen Blvd Suite #104 Charleroi PA 15022-1085 |
| Practice Telephone | 7244835080 |
| Practice Fax Number | 7244833760 |
| Mailing Telephone | 7244835080 |
| Mailing Fax Number | 7244833760 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS026650-L | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1162925 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497039135 | Charles Lee Tucker I | Counselor | 12925 Ne 59th St, Spencer, OK 73084-8605 | 2011-09-29 |
| 1285848887 | Charles Morton Tucker | Psychologist | 900 Summit La, Oreland, PA 19075-2526 | 2007-05-10 |
| 1831204478 | Charles Thomas Tucker | Internal Medicine | 111 Colonial Way Ste 2, Jesup, GA 31545-0132 | 2006-08-21 |
| 1124055322 | Charles Thomas Tucker | Chiropractor | 2516 Nw 43rd St, Gainesville, FL 32606-7491 | 2006-06-26 |
| 1639173396 | Charles L Tucker | Family Medicine | 195 Hospital Dr, Cherokee Village, AR 72529-7314 | 2005-06-10 |
| 1902405392 | Charles Thomas Tucker IIi | Chiropractor | 3014 Wade Hampton Blvd, Taylors, SC 29687-2716 | 2020-10-19 |
| 1043853278 | Charles Mahlon Tucker | Physical Therapy Assistant | 112 W Citrus St, Altamonte Springs, FL 32714-2502 | 2019-10-21 |
| 1023662921 | Charles Tucker | Pharmacist | 200 S Rachal St, Sinton, TX 78387-2524 | 2019-07-29 |
| 1497255244 | Charles Edward Tucker | Counselor | 3088 Cranberry Hwy Ste A, East Wareham, MA 02538-4800 | 2018-02-19 |
| 1295893030 | Charles Douglas Tucker | Surgery | 300 S 8th St, Suite 205 E, Murray, KY 42071-2400 | 2006-12-05 |
| Street Address |
17 ARENTZEN BLVD SUITE #104 |
| City | CHARLEROI |
| State | PA |
| Zip Code | 15022-1085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720050289 | Derienzo Family Practice | Family Medicine | 17 Arentzen Blvd, Charleroi, PA 15022-1085 | 2006-02-07 |
| 1689168015 | Preferred Primary Care Physicians, Inc. | Family Medicine | 17 Arentzen Blvd, Charleroi, PA 15022-1085 | 2018-06-19 |
| 1881903532 | Primary Care Group 12, Inc. | Family Medicine | 17 Arentzen Blvd, Suite 101, Charleroi, PA 15022-1085 | 2010-09-29 |
| 1982873105 | Derienzo Family Practice, P.C. | Non-Pharmacy Dispensing Site | 17 Arentzen Blvd, 101, Charleroi, PA 15022-1085 | 2008-02-21 |
| 1013185354 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 17 Arentzen Blvd, Ste. 105 Vista 1 Prof.ctr. Ckd Services of Mon Valley, Charleroi, PA 15022-1085 | 2008-02-20 |
| 1164524575 | Colleen Malena Petitto | Dietitian, Registered | 17 Arentzen Blvd, Vista One Professional Center Suite 105, Charleroi, PA 15022-1085 | 2006-09-05 |
| 1629007505 | Davidson- Tucker Oral Surgery Associates | Dentist | 17 Arentzen Blvd, Suite #104, Charleroi, PA 15022-1085 | 2006-07-02 |
| 1427021674 | Umberto Anthony Derienzo | Family Medicine | 17 Arentzen Blvd, Charleroi, PA 15022 | 2006-02-08 |
| 1376515999 | Rhonda Lynn Wingrove | Family Medicine | 17 Arentzen Blvd, Charleroi, PA 15022 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497195267 | Mohammad F Pathan | Family Medicine | 305 Mckian Ave, Charleroi, PA 15022 | 2013-06-26 |
| 1275761967 | The Eyesight Center | Ophthalmology | 305 Mckean Avenue, Charleroi, PA 15022 | 2009-07-01 |
| 1487859682 | Rose Marie Yawny | Pharmacist | 5th and Mckean Ave, Charleroi, PA 15022 | 2007-06-18 |
| 1629124607 | Paul Joseph Harbosky | Chiropractor | 612 Fallowfield Ave, Charleroi, PA 15022 | 2007-01-25 |
| 1548343338 | Benjamin H Reuter | Specialist/Technologist | 346 Twin Bridges Road, Charleroi, PA 15022 | 2006-10-23 |
| 1033214838 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | Vista One Professional Center, 17 Arentzen Blvd. Suite 105, Charleroi, PA 15022 | 2006-09-14 |
| 1235249061 | John J Charletta | Dentist | 228 Mckean Ave, 2nd Floor, Charleroi, PA 15022 | 2006-08-30 |
| 1235167610 | Steve L Dusi | Physical Therapist | Arentzen Blvd., Vista One Professional Plaza Suite 205, Charleroi, PA 15022 | 2006-06-28 |
| 1891792511 | Kenneth Howard Lentz | Internal Medicine | Professional Plaza, Suite 206, North Charleroi, PA 15022 | 2005-07-07 |
| 1295259646 | Julia Disanti | Nurse Practitioner | 17 Arentzen Blvd Ste 101, Charleroi, PA 15022 | 2017-07-27 |
| Find all providers in zip 15022 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629007505 | Davidson- Tucker Oral Surgery Associates | Dentist | 17 Arentzen Blvd, Suite #104, Charleroi, PA 15022-1085 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074037 | Kingsbury Oral and Maxillofacial Surgery, PC | Dentist | 1 Presidential Blvd Ste 207, Bala Cynwyd, PA 19004-1007 | 2020-08-17 |
| 1679183990 | Always Precision Dental PC | Dentist | 1023 King Way, Breinigsville, PA 18031-1482 | 2020-08-02 |
| 1447874490 | Peace Dental Associates | Dentist | 35 S 2nd Ave, Clarion, PA 16214-1934 | 2020-06-05 |
| 1528689270 | New Hope Oral Surgery and Implant Center | Dentist | 6660 Old York Rd, New Hope, PA 18938 | 2020-05-05 |
| 1942831904 | Eagles Oral Surgery | Dentist | 525 W Main St Ste 11, Trappe, PA 19426-1923 | 2020-01-29 |
| 1104466028 | Keystone Oral and Maxillofacial Surgery, P.C. | Dentist | 560 Rugh St Ste 100, Greensburg, PA 15601-5601 | 2020-01-08 |
| 1245889740 | Oral & Facial Surgery of Pittsburgh, P.C. | Dentist | 180 Swinderman Rd Ste 260, Wexford, PA 15090-5620 | 2019-09-06 |
| 1528626124 | Christopher Yi | Dentist | 900 Walnut St Rm 300, Philadelphia, PA 19107-5191 | 2019-05-30 |
| 1275091886 | Gary M Carmassi Dmd | Dentist | 8650 Babcock Blvd Ste 3, Pittsburgh, PA 15237-5009 | 2019-03-04 |
| 1073093233 | Ban Oral and Facial Surgical Associates LLC | Dentist | 4725 Mcknight Rd Ste 209, Pittsburgh, PA 15237-3414 | 2018-08-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.