NPI 1285882860

Edwin Lee Tucker, DMD

Practitioner Dentist Owens Cross Roads, AL

Practice location

Address: 210 Sutton Rd SE, Owens Cross Roads, AL 35763-8753
Phone: (256) 534-1475
Fax: (256) 533-1425

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 4131 (AL)

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Registry record

NPI: 1285882860
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Sep 2008
Record last updated: 8 Sep 2008

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.