IndividualActive
J Tucker, DMD
NPI 1659454155 · Oral and Maxillofacial Surgery (Dentist) · Charleston, SC
Provider details
- NPI number
- 1659454155
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 2901019477 (MI)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Practice location
171 Ashley Ave
Charleston, SC 29425-8908
Phone: (843) 792-1414
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 751461
Charlotte, NC 28275-1461
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2024-07-29
- Certified
- 2024-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.