MALLORY TUCKER (NPI# 1790039592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790039592 |
| Entity Type | Individual |
| Full Name | MALLORY TUCKER |
| Credential | D.D.S |
| Practice Address |
1114 Dolores St San Francisco CA 94110-3613 |
| Practice Telephone | 9188109119 |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2012-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 61703 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194369850 | Mallory Tucker | Behavior Technician | 7328 Arbor Trl Apt 201, Waterford, MI 48327-4501 | 2019-11-05 |
| 1023621794 | Mallory Keck Tucker | Pharmacist | 102 E Broadway, Newport, TN 37821-2323 | 2020-08-24 |
| 1376980482 | Mallory Conway Tucker | Nurse Practitioner | 701 Doctors Dr, Suite N, Kinston, NC 28501-1589 | 2013-05-30 |
| 1861751349 | Mallory Paige Tucker | Physician Assistant | 2452 Mahan Dr, Suite 101, Tallahassee, FL 32308-5373 | 2012-05-03 |
| Street Address |
1114 DOLORES ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-3613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| 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 |
|---|---|---|---|---|
| 1518568138 | Raime Shah | Dentist | 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 | 2020-11-02 |
| 1063019032 | Shaun Abrams | Dentist | 87 Beaver St, San Francisco, CA 94114-1514 | 2020-10-02 |
| 1407469240 | Steve Deng | Dentist | 450 Sutter St Rm 2640, San Francisco, CA 94108-4211 | 2020-08-30 |
| 1922619634 | Anna V Goritskaia | Dentist | 1188 Mission St Apt 2318, San Francisco, CA 94103-6757 | 2020-08-14 |
| 1417589581 | Amin Sarraf | Dentist | 1315 3rd Ave, San Francisco, CA 94122-2718 | 2020-02-06 |
| 1144867052 | Hanna Brody | Dentist | 707 Parnassus Ave Rm D3015, San Francisco, CA 94143-2210 | 2019-12-10 |
| 1225685043 | Kamiya Khatwani | Dentist | 250 King St Unit 270, San Francisco, CA 94107-5457 | 2019-08-26 |
| 1609428275 | University of The Pacific | Dentist | 155 5th St Ste 23m, San Francisco, CA 94103-2919 | 2019-07-12 |
| 1730740325 | Ronald J Mak | Dentist | 728 Pacific Ave Ste 610, San Francisco, CA 94133-4449 | 2019-06-24 |
| 1073077947 | Hayoung Shin | Dentist | 1 Daniel Burnham Ct Ste 305c, San Francisco, CA 94109-0466 | 2019-01-24 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
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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.