NPI 1235577495

Tucker William Gross, RDH

Practitioner Dental Hygienist Watertown, SD

Practice location

Address: 1306 S Lake Dr, Watertown, SD 57201-5450
Phone: (605) 222-4489

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH1175 (SD)

Other Dental Hygienist providers in South Dakota →

Registry record

NPI: 1235577495
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2013
Record last updated: 10 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.