Tucker, Blake K
Tucker, Blake K is an individual health care provider with primary practice located at 2095 W Frye Rd Suite 2, Chandler AZ 85224. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Tucker, Blake K can be contacted via phone (480) 855-8315.Contact Information
Primary practice address
2095 W Frye Rd Suite 2
Chandler AZ 85224
Phone: (480) 855-8315
Fax: (480) 855-8316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6951 | Arizona |
Profile Details
| NPI number | 1275699084 |
|---|---|
| LBN Legal business name | Tucker, Blake K |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jan 17th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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