DR. BRADLEY WILLIAM TUCKER (NPI# 1508298019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508298019 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY WILLIAM TUCKER |
| Credential | DDS |
| Practice Address |
940 Black Canyon Way Montrose CO 81403-9833 |
| Practice Telephone | 3608201407 |
| Mailing Telephone | 3608201407 |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DEN.00202056 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467733352 | Bradley Gordon Tucker | Physical Medicine & Rehabilitation | 3737 Market St Fl 6, Philadelphia, PA 19104-5545 | 2011-09-06 |
| Street Address |
940 BLACK CANYON WAY |
| City | MONTROSE |
| State | CO |
| Zip Code | 81403-9833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528253960 | Kay L. Alexander | Social Worker | 16659 6250 Road, Montrose, CO 81403 | 2007-09-10 |
| 1881078483 | Jessica Howell | Home Health | 637 Spring Creek Rd, Montrose, CO 81403-3327 | 2015-07-13 |
| 1033438403 | Andrea Lee Jaeger | Massage Therapist | 320 6410 Ct, Montrose, CO 81403-4483 | 2010-05-25 |
| 1124469234 | Michael Dean Yengst | Pharmacist | 700 Paso De Pablo, Montrose, CO 81403-6340 | 2013-07-17 |
| 1205259777 | Justin Tanner Md LLC | Internal Medicine | 59724 Mancos Ln, Montrose, CO 81403-7375 | 2014-02-03 |
| 1568716371 | Tegan Aymond Soderlind | Occupational Therapist | 16891 Riverview Ct, Montrose, CO 81403-7484 | 2012-10-31 |
| 1598194672 | Alexis A Baca-spry | Counselor | 16659 6250 Rd, Montrose, CO 81403-7822 | 2013-11-08 |
| 1932500840 | Pegasus Equine Therapy | Social Worker | 16659 6250 Rd, Montrose, CO 81403-7822 | 2014-09-10 |
| 1316488331 | Laurie Stover | Clinic/Center | 16935 6450 Rd, Montrose, CO 81403-7868 | 2017-03-09 |
| 1477084762 | Riverside Adult Day Program, LLC | Clinic/Center | 16935 6450 Rd, Montrose, CO 81403-7868 | 2017-03-27 |
| Find all providers in zip 81403 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346776408 | Black Canyon Dental | Dentist | 1544 Oxbow Dr Ste 230, Montrose, CO 81401-5189 | 2017-05-11 |
| 1760920623 | Ronald Connally | Dentist | 23845 Main Street, Montrose, AL 36559-0910 | 2017-02-10 |
| 1760703979 | Benjamin J Brown | Dentist | 1601 Oxbow Dr, 360 A, Montrose, CO 81401-4775 | 2010-06-22 |
| 1467685636 | Nicholas Preston Heiner | Dentist | 629 East Star Court, Montrose, CO 81401 | 2009-09-03 |
| 1003041302 | Artin Manoukian | Dentist | 2307 Florencita Ave, Montrose, CA 91020-1817 | 2009-05-16 |
| 1700044625 | Smiles4kids | Dentist | 1601 Oxbow Dr Unit 360-a, Montrose, CO 81401-4781 | 2008-05-28 |
| 1013113992 | Wanda Ann Dufrene | Dentist | 1901 S Townsend Ave, Montrose, CO 81401-5446 | 2007-06-26 |
| 1437353646 | Jared Scott Staples | Dentist | 1601 Oxbow Suite 360a, Montrose, CO 81401 | 2007-06-12 |
| 1720297682 | Endless Mountains Dental Care PC | Dentist | 21 Public Ave, Montrose, PA 18801-0367 | 2007-05-21 |
| 1548397904 | Robin C Ballard Dds PC | Dentist | 226 W State St, Montrose, MI 48457 | 2007-02-27 |
| Find all providers in MONTROSE | ||||
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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.