IndividualActive
Betty Tucker, DDS
NPI 1710215819 · Pediatric Dentistry · Springfield, OH
Provider details
- NPI number
- 1710215819
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 9005 (KY)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
2200 Olympic St
Springfield, OH 45503-2858
Phone: (937) 390-0493
Approximate (ZIP-level) locationGet directions
Mailing address
2200 Olympic St
Springfield, OH 45503-2858
Registry dates
- Enumerated
- 2009-12-01
- Last updated
- 2022-09-30
- Certified
- 2022-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.