Joseph Coy Tucker, D.D.S Valid NPI
Individual provider · General Practice Dentistry · Edmond, OK
- NPI
- 1184879447
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 5679 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2008-11-28
- Last updated
- 2020-12-03
Practice location
17917 N Portland Ave
Edmond, OK 73012-8960
(405) 562-7778