JYOTIKA TUCKER (NPI# 1780890681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780890681 |
| Entity Type | Individual |
| Full Name | JYOTIKA TUCKER |
| Credential | DDS ENDO |
| Practice Address |
1356 Boston Road Boston MA 01103 |
| Mailing Address |
Po Box 3189 Syracuse NY 13220-3189 |
| Practice Telephone | 4137828700 |
| Practice Fax Number | 4137828184 |
| Mailing Telephone | 3154546000 |
| Mailing Fax Number | 3154548650 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
009589 | CT | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
21733 | MA | Dental Providers |
| Street Address |
1356 BOSTON ROAD |
| City | BOSTON |
| State | MA |
| Zip Code | 01103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
| 1427521749 | Pedro Cruz | Student in an Organized Health Care Education/Training Program | 95 Frank B Murray, Springfield, MA 01103 | 2019-01-09 |
| 1003325010 | Amber Lynn Chisholm | Counselor | 130 Maple St., Springfield, MA 01103 | 2017-09-21 |
| 1750737391 | Mande' Counseling | Community/Behavioral Health | 1365 Main St Suite 401, Springfield, MA 01103 | 2016-05-13 |
| 1528467248 | Amanda M Galloway | Physician Assistant | 1038-1050 Main St, Springfield, MA 01103 | 2014-08-19 |
| 1114326113 | Anne Marie Belinda | Nurse Practitioner | 1049 Main St., Springfield, MA 01103 | 2014-08-15 |
| 1538575295 | Sunrise Behavioral Health Clinic, LLC | Clinic/Center | 95 Frank B. Murray Street, Springfield, MA 01103 | 2014-07-02 |
| 1548675093 | Jessica Lynn Pasalacqua | Dietitian, Registered | 870 Main St., Springfield, MA 01103 | 2014-06-24 |
| 1003220443 | Ivan Rosario | Counselor | 1695 Main St Ste400, Springfield, MA 01103 | 2014-06-13 |
| 1275964769 | Leeandrew Rick Wilson | Counselor | 1695 Main St., Springfield, MA 01103 | 2013-12-09 |
| Find all providers in zip 01103 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464603 | Thabet Housami | Dentist | 635 Albany Street G-201, Boston, MA 02118-2392 | 2020-10-12 |
| 1720561459 | Omar Alkhattab | Dentist | 72 E Concord St Rm 318, Boston, MA 02118-2307 | 2018-09-10 |
| 1194151118 | Marielena Gamboa-ruiz | Dentist | 1 Kneeland St Fl 11, Boston, MA 02111-1527 | 2013-09-23 |
| 1407282999 | Ramipal S Khurana | Dentist | 100 E Newton St # G202, Boston, MA 02118-2308 | 2013-09-17 |
| 1336575828 | Hsiao-ying Candice Yang | Dentist | 100 E Newton St # G-202, Boston, MA 02118-2308 | 2013-09-17 |
| 1710239918 | Roshanak Baghai Naini | Dentist | 100 East Newton, Boston University School of Dental Medicine, Boston, MA 02118 | 2012-10-11 |
| 1992055776 | Ashraf Abd-elmeguid | Dentist | 100 East Newton St, Boston, MA 02118 | 2012-09-19 |
| 1679887434 | Michael Pauk | Dentist | 100 E Newton St # 705, Boston University Goldman School of Dental Medicine, Boston, MA 02118-2308 | 2010-08-03 |
| 1386798874 | Barry J Goldberg | Dentist | 800 Boylston St Ste 200, Boston, MA 02199-8176 | 2007-01-22 |
| 1427119403 | Louay Abrass | Dentist | 10 Post Office Sq Ste 1101, Boston, MA 02109-4603 | 2006-12-13 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on JYOTIKA TUCKER.
| 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.