A W TUCKER DDS PA (NPI# 1659439917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659439917 |
| Entity Type | Organization |
| Organization Name | A W TUCKER DDS PA |
| Practice Address |
120 South Johnson Street Brevard NC 28712 |
| Practice Telephone | 8288842191 |
| Practice Fax Number | 8288773069 |
| Mailing Telephone | 8288842191 |
| Mailing Fax Number | 8288773069 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. AUGUSTINE WASHINGTON TUCKER III (PRESIDENT) |
| Authorized Official Telephone | 8288842191 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3617 | NC | Dental Providers |
| Street Address |
120 SOUTH JOHNSON STREET |
| City | BREVARD |
| State | NC |
| Zip Code | 28712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205351152 | Kelley Strom | Occupational Therapist | 835 Wolf Pen Cove Road, Brevard, NC 28712 | 2017-08-11 |
| 1568909232 | Christina Faye Jachens | Counselor | 39 East Jordan Street, Brevard, NC 28712 | 2017-01-19 |
| 1922446947 | Allcare Clinical Associates, Pa | Anesthesiology | 89c Hospital Drive, Brevard, NC 28712 | 2013-06-12 |
| 1265742852 | Loftis Home Medical LLC | Durable Medical Equipment & Medical Supplies | 181 Rosman Hwy, Brevard, NC 28712 | 2010-10-15 |
| 1407164395 | United Rehab Inc. | Clinic/Center | 300 Morris Road, Brevard, NC 28712 | 2010-09-14 |
| 1083931851 | Polly Mitchiner-senecal | Pharmacist | 382 Asheville Highway, Brevard, NC 28712 | 2010-05-03 |
| 1891029682 | Douglas Carl Harris | Pharmacist | 382 Asheville Hwy., Brevard, NC 28712 | 2009-09-25 |
| 1386828770 | Academy of The Sierras | Residential Treatment Facility, Physical Disabilities | 1 Lambs Creek Rd, Brevard, NC 28712 | 2007-12-21 |
| 1215117619 | Kimberly Lynn Marchisin | Orthotic Fitter | 10 E Jordan St West, Brevard, NC 28712 | 2007-11-14 |
| 1841482700 | Transylvania County Dss | Public Health or Welfare | 106 E Morgan Street, Brevard, NC 28712 | 2007-08-15 |
| Find all providers in zip 28712 | ||||
| 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 |
|---|---|---|---|---|
| 1487212759 | Meghan Raquel Valdes | Dentist | 123 E Main St Ste 300, Brevard, NC 28712-4482 | 2019-06-03 |
| 1679125488 | Shane Van Oostendorp | Dentist | 4 Market St Ste 4202, Brevard, NC 28712-5641 | 2019-07-11 |
| 1609434984 | Alexander John Nicopoulos | Dentist | 123 E Main St Ste 300, Brevard, NC 28712-4482 | 2019-06-03 |
| 1134577018 | Garrett Gunnell | Dentist | 4 Market St, Suite 4202, Brevard, NC 28712-5635 | 2016-06-01 |
| 1750621603 | Blue Ridge Community Health Services, Inc. Dental | Dentist | 89 Hospital Dr, Brevard, NC 28712-4837 | 2013-02-28 |
| 1558616987 | Matthew Todd Gunnell | Dentist | 4 Market St Ste 4202, Brevard, NC 28712-5641 | 2012-07-23 |
| 1851610281 | Joseph L Cowart Dmd Pa | Dentist | 4 Market St Ste 4202, Brevard, NC 28712-5637 | 2010-05-25 |
| 1467771873 | Bart Van Oostendorp Dds Pa | Dentist | 4 Market St Ste 4202, Brevard, NC 28712-5637 | 2010-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816616 | Erin Wilbanks | Dentist | 1000 Copperfield Blvd Ne Ste 160, Concord, NC 28025-2454 | 2020-09-18 |
| 1275148553 | Marcus A. Bond Dds Pllc | Dentist | 1300 South Blvd Ste A, Charlotte, NC 28203-0006 | 2020-09-13 |
| 1235744780 | Joseph Short | Dentist | 300 Waldo St, Cary, NC 27511-3538 | 2020-09-11 |
| 1730794439 | Lauren Marie Barton | Dentist | H M Smith Blvd, Bldg Fc-308, Camp Lejeune, NC 28542 | 2020-09-10 |
| 1386257822 | Nirjal Patel, Dmd, P.a. | Dentist | 1400 Industrial Dr, Kinston, NC 28504-4500 | 2020-08-25 |
| 1962014696 | Neko Lynn Webb | Dentist | 2050 Skibo Rd Ste 104, Fayetteville, NC 28314-3161 | 2020-08-24 |
| 1700498631 | Jaclyn Jennifer Willis | Dentist | Ardennes Street, Fort Bragg, NC 28307 | 2020-08-21 |
| 1376155507 | Evan Michael Vallee | Dentist | 5023 Market Street Wilmington, Wilmington, NC 28405 | 2020-08-19 |
| 1487265039 | John Michael Mckelvey Jr. | Dentist | 6238 Ardennes St, Fort Bragg, NC 28310-0001 | 2020-08-16 |
| 1750990842 | Christopher Joseph Tikvart | Dentist | 202 N West St Apt 207, Raleigh, NC 27603-6173 | 2020-07-24 |
| 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.