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Dr. Myron R Tucker, DDS
Oral and Maxillofacial Surgery (Dentist) in Charlotte, North Carolina
NPI 1427022441

Myron R Tucker is a Oral and Maxillofacial Surgery (Dentist) based in Charlotte, NC and is specialized in Oral and Maxillofacial Surgery. Myron R Tucker practices in Charlotte, NC and has the professional credentials of DDS. The NPI Number for Myron R Tucker is 1427022441 and holds a License No. 5193 (North Carolina).

The current practice location address for Myron R Tucker is 411 Billingsley Rd, Charlotte, NC and can be reached out via phone at 704-347-3900 and via fax at 704-347-0133.

Location: 411 Billingsley Rd, Charlotte, NC, 28211-1066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427022441
Provider Name
Myron R Tucker
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
411 Billingsley Rd, Charlotte, NC, 28211-1066
Phone Number
704-347-3900
Fax Number
704-347-0133
Provider Enumeration Date
02/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
899853B 05 NC
9853B 01 NC BCBS
institution
Provider Business Practice Location Address Details
Address
411 Billingsley Rd
City
Charlotte
State
North Carolina
Zip
28211-1066
Phone Number
704-347-3900
Fax Number
704-347-0133
person
Provider Business Mailing Address Details
Address
411 Billingsley Rd
City
Charlotte
State
North Carolina
Zip
28211-1066
Phone Number
704-347-3900
Fax Number
704-347-0133
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
5193 (North Carolina)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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