Alan C. Tucker, D.D.S., P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

10864 Issued in GA

Legal business name

ALAN C. TUCKER, D.D.S., P.C.

Practice address

639A Beaver Ruin Rd NW
Lilburn, GA 30047-3401

Phone

(770) 923-5200

Fax

(770) 564-0613

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alan Charles Tucker, D.D.S.NPI 1457435653

Title

President

Phone

(770) 923-5200

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan Charles Tucker, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Lilburn, GA
  • NPI 1457435653
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104904036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639A BEAVER RUIN RD NW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473401",
            "telephone_number": "770-923-5200",
            "fax_number": "770-564-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639A BEAVER RUIN RD NW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473401",
            "telephone_number": "770-923-5200",
            "fax_number": "770-564-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN C. TUCKER, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-923-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "10864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aims Care Services, Inc. (AIMS Home Care Services)
• Laurie Akinola, D.D.S.
• Aksharmurti LLC Dba/ Emory Adult Day Health Care
• Rebecca Ayaw Alabi
• Alain Emmanuel Therapy LLC
• Rebecca G Alcoba, CPNP-PC
• Keegan Alexander, LPN
• Lubna Ali
• Sana Ali, NP
• Alice's Psychiatry & Wellness, LLC

• Oral and Maxillofacial Surgery (Dentist) in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.