IndividualActive
Alan Tucker, D.D.S.
NPI 1457435653 · Oral and Maxillofacial Surgery (Dentist) · Lilburn, GA
Provider details
- NPI number
- 1457435653
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- #10864 (GA)
Specialties & taxonomies
Dental Providers
Practice location
639a Beaver Ruin Rd Nw
Lilburn, GA 30047-3401
Phone: (770) 923-5200
Fax: (770) 564-0613
Approximate (ZIP-level) locationGet directions
Mailing address
639a Beaver Ruin Rd Nw
Lilburn, GA 30047-3401
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.