Robert Jeffrey Tuck, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11397 Issued in MA

Practice address

567 Pleasant St
Brockton, MA 02301-2507

Phone

(508) 583-3377

Fax

(508) 583-0811

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285767376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012507",
            "telephone_number": "508-583-3377",
            "fax_number": "508-583-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012507",
            "telephone_number": "508-583-3377",
            "fax_number": "508-583-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCK",
        "first_name": "ROBERT",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "11397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "X04783",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tru Caregiver Inc.
• Mark Trudeau
• Lawrence Arthur Trufant, DMD
• Hong VI Truong, D.O.
• Elena Tsonos, LDN
• Patricia Louise Tucker, FNP
• Bayram Turan, P.A.
• Paula Marie Turcotte
• Carlyn Nicole Turenchalk
• Aliyan Danae Turner, N/A

• General Practice Dentistry in Brockton, MA
• Providers in Brockton, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.