Tucker, David Isaac
Tucker, David Isaac is an individual health care provider with primary practice located at 2410 Stanley Road Dentac Suite 200J, Fort Sam Houston TX 78234-6230. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Tucker, David Isaac can be contacted via phone (210) 295-2743.Contact Information
Primary practice address
2410 Stanley Road Dentac Suite 200J
Fort Sam Houston TX 78234-6230
Phone: (210) 295-2743
Fax: (210) 295-2602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0021380 | Texas |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 21380 | Texas |
Profile Details
| NPI number | 1053373175 |
|---|---|
| LBN Legal business name | Tucker, David Isaac |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Oct 1st, 2014 - about 12 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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