TUCKER & ALLEN-JOHNSON DDS PA (NPI# 1952598310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952598310 |
| Entity Type | Organization |
| Organization Name | TUCKER & ALLEN-JOHNSON DDS PA |
| Other Organization Name | SMILE JUNCTION PEDIATRIC DENTISTRY |
| Practice Address |
2975 Crouse Lane Burlington NC 27215-8833 |
| Practice Telephone | 3365381608 |
| Mailing Telephone | 3365381608 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2011-01-12 |
| Authorized Official Name | DR. NIKKI GIOVONNE TUCKER (PRESIDENT) |
| Authorized Official Telephone | 3365381608 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
7497 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NORTH CAROLINA HEALTH CHOICE/GROUP | 019VY | 01 |
| NC | NORTH CAROLINA HEALTH CHOICE/INDIVIDUAL | 092TV | 01 |
| NC | 89902TV | 05 | |
| NC | NORTH CAROLINA HEALTH CHOICE/INDIVIDUAL | 0902UH | 01 |
| Other Name | Type Code |
|---|---|
| Smile Junction Pediatric Dentistry | Doing Business As Name - Organization |
| Street Address |
2975 CROUSE LANE |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215-8833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376032557 | Devon Cooper | Dentist | 5495 N Bend Rd Ste 102, Burlington, KY 41005-9378 | 2018-05-03 |
| 1194112599 | Jennifer Durham Crisp | Dentist | 3154 S Church St, Burlington, NC 27215-9114 | 2015-04-23 |
| 1386784585 | Roslyn Moore Crisp | Dentist | 1203 Vaughn Rd, Burlington, NC 27217-2846 | 2007-02-07 |
| 1669573010 | Michael Todd Grooms | Dentist | 306 Alamance Rd Ste C, Burlington, NC 27215-5684 | 2006-09-26 |
| 1477563682 | Morteza A Yazdi | Dentist | 131 Cambridge St Ste 1, Burlington, MA 01803-3711 | 2006-08-09 |
| 1386921526 | Pediatric Dental Center | Dentist | 5495 N Bend Rd, Suite 102, Burlington, KY 41005-9378 | 2011-11-15 |
| 1538331350 | Dr Roslyn M. Crisp | Dentist | 1203 Vaughn Rd, Burlington, NC 27217-2846 | 2008-04-01 |
| 1689852477 | Alamance Pediatric Dentistry | Dentist | 306 Alamance Rd, Ste C, Burlington, NC 27215-5684 | 2008-02-05 |
| 1669687166 | Burlington Childrens Dental | Dentist | 131 Cambridge St Ste 1, Burlington, MA 01803-3711 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507468 | S Vakil Dds Ms IIi Pa | Dentist | 181 N Main St Ste 202, Mooresville, NC 28115-2525 | 2020-10-26 |
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1942820105 | David E Thome Dds Pllc X | Dentist | 7856 Village Ctr N, Sherrills Ford, NC 28673-9413 | 2020-04-17 |
| 1689293706 | Alterman Dhillon and Associates | Dentist | 9648 Chapel Hill Rd Ste 100, Morrisville, NC 27560-7846 | 2020-04-09 |
| 1457982852 | Miguel Angel Simancas-pallares | Dentist | 228 Brauer Hall Cb#7450, Chapel Hill, NC 27599-0001 | 2020-02-04 |
| 1396388096 | Thome & Kankash Dds Pllc I | Dentist | 401 Attain St Ste 111, Fuquay Varina, NC 27526-2702 | 2019-10-25 |
| 1104469808 | David E Thome Dds Pllc Ix | Dentist | 5641 Poplar Tent Rd Ste 201, Concord, NC 28027-7588 | 2019-10-25 |
| 1154981371 | Bevin K Malle Dds Pa II | Dentist | 9817 Suzanne Ct., Suite B, Waxhaw, NC 28173-8848 | 2019-06-19 |
| 1740849744 | Riccobene & Associates Xxx, Dds, P.a. | Dentist | 8203 Market St Bldg B, Wilmington, NC 28411-9389 | 2019-06-12 |
| 1609337930 | Jean Kontos Ginnis | Dentist | Manning Drive & S Columbia Street, Chapel Hill, NC 27599-0001 | 2019-03-28 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
Please comment or provide details below to improve the information on TUCKER & ALLEN-JOHNSON DDS PA.
| 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.