BRIAN D. TUCKER, DMD, PC


Address: 3508 Far West Blvd Ste 310, Austin, TX 78731-3080
Phone: 5123465738

BRIAN D. TUCKER, DMD, PC (NPI# 1699074419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699074419
Entity Type Organization
Organization Name BRIAN D. TUCKER, DMD, PC
Other Organization Name AUSTIN FAMILY DENTIST
Practice Address 3508 Far West Blvd Ste 310
Austin
TX 78731-3080
Practice Telephone 5123465738
Practice Fax Number 5123463241
Mailing Telephone 5123465738
Mailing Fax Number 5123463241
Enumeration Date 2011-03-18
Last Update Date 2011-03-18
Authorized Official Name DR. BRIAN D TUCKER (DENTIST/OWNER)
Authorized Official Telephone 5123465738
Authorized Official Credential D.M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
22655 TX Dental Providers

Other Provider/Organization Names

Other Name Type Code
Austin Family Dentist Doing Business As Name - Organization

Office Location

Street Address 3508 FAR WEST BLVD STE 310
City AUSTIN
State TX
Zip Code 78731-3080

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1699309773 Modern Vision Group, Pllc Optometrist 3908 Far W Blvd, Austin, TX 78731 2020-02-27
1235699562 Catherine Kerrigan Social Worker 7514 N Mopac Expy, Suite 100, Austin, TX 78731 2019-03-22
1912474651 Austin Dental Spa, Pllc Dentist 3305 Northland Ste 515, Austin, TX 78731 2018-10-31
1982110938 Lindsey Sheppard Dietitian, Registered 7000 N Mopac Expy, Suite 200, Austin, TX 78731 2017-12-28
1144746066 Sarah Cotton Occupational Therapist 3520 Executive Center Drive, Suite 128, Austin, TX 78731 2017-08-22
1699299792 Avoia Mia Tapia Physical Therapist 3721 Executive Center Drive, Suite 201, Austin, TX 78731 2017-07-31
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750980025 Neda Hani Tabaei Zavareh Dentist 10900 Twisted Elm Dr, Austin, TX 78726-2369 2020-10-19
1356956882 Pediatric Dental Professionals, Pllc Dentist 9015 Mountain Ridge Dr Ste 320, Austin, TX 78759-8488 2020-09-11
1043823727 Dimple Sharma Pllc Dentist 8700 Menchaca Rd Ste 102, Austin, TX 78748-5372 2020-08-24
1295343036 Nair & Pillai Serenity Dental, Pllc Dentist 8731 W Highway 71 Ste 102, Austin, TX 78735-8410 2020-07-17
1972130672 Meredith Rae Mosier Dentist 421 W 3rd St Apt 811, Austin, TX 78701-4166 2020-03-24
1144863861 Michelle Hedgecock Dds Pllc Dentist 1008 Mo Pac Circle Ste 100, Austin, TX 78746-6808 2019-10-25
1275174799 Debora L Ayres Dentist 3900 Ranch Road 620 S Ste 106, Austin, TX 78738-6311 2019-10-06
1922649730 Sarah Workman Dentist 11615 Angus Rd Ste 110, Austin, TX 78759-4006 2019-10-02
1568013761 River Place Dental Dentist 7011 Ribelin Ranch Rd Ste 100, Austin, TX 78750-8585 2019-09-28
1508411372 Abram Ortega Dentist 3909 N Ih 35 Ste A1, Austin, TX 78722-1529 2019-08-07
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Competitor

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City AUSTIN
Zip Code 78731

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Dataset Information

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.

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