Active NPIIndividual provider

Anshelle Tucker, DMD

Dentist in V Irginia Beach, Virginia

NPI Number1164160537
Practice location
561 First Colonial Blvd, Ste 104, V Irginia Beach, VA 23451
Fax
—
Last updated
November 29, 2024

Anshelle Tucker is a Dentist based in V Irginia Beach, VA. Anshelle Tucker practices in V Irginia Beach, VA and has the professional credentials of DMD. The NPI Number for Anshelle Tucker is 1164160537 and holds a License No. DN1859406 (MA). The current practice location address for Anshelle Tucker is 561 First Colonial Blvd, Ste 104, V Irginia Beach, VA 23451 and can be reached out via phone at 757-648-7473.

Provider Profile Details

NPI Number
1164160537
Provider Name
Anshelle Tucker
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
561 First Colonial Blvd, Ste 104, V Irginia Beach, VA 23451
Phone Number
757-648-7473
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
May 25, 2022
Last Update Date
November 29, 2024
Certification Date
November 29, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
561 First Colonial Blvd
Ste 104
V Irginia Beach, VA 23451
Zip
23451
Phone Number
757-648-7473
V Irginia Beach, VA 23451Get directions →

Provider Business Mailing Address Details

Address
18492 E Ranch RD
Queen Creek, AZ 85142-5397
City
Queen Creek
State
AZ
Zip
85142-5397
Phone Number
702-755-5395

License Information

License Number (1)
DN1859406
License State (1)
MA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
D012016
License State (2)
AZ
Taxonomy (2)
Dentist, General Practice · 1223G0001X
License Number (3)
0401419243
License State (3)
VA
Taxonomy (3)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Anshelle Tucker, DMD?

The NPI number of Anshelle Tucker, DMD is 1164160537. It was assigned on May 25, 2022 and is currently active in the NPPES registry.

What is the specialty of Anshelle Tucker, DMD?

Anshelle Tucker, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1859406.

Where does Anshelle Tucker, DMD practice?

The practice location is 561 First Colonial Blvd, Ste 104, V Irginia Beach, VA 23451. The office can be reached at 757-648-7473 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164160537 directly on the NPPES registry website.

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