Lloyd M Tucker, DMD, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE00007759 Issued in WA

Practice address

624 E 8TH Street
Port Angeles, WA 98362-6224

Phone

(360) 452-7482

Fax

(360) 457-4903

NPI assigned

Apr 16, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heidi Brandt DMD MSD & Stig K Osterberg DDS MSD, PC

  • Periodontics
  • Port Angeles, WA
  • NPI 1932404175
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1740405752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 E 8TH STREET",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626224",
            "telephone_number": "206-937-8253",
            "fax_number": "206-937-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 E 8TH STREET",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626224",
            "telephone_number": "360-452-7482",
            "fax_number": "360-457-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "LLOYD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00007759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Truman, LMHC
• Todd Tucholke, DPT
• Pattie Rae Tuck, RN, IBCLC
• Haley Tucker
• Jeffery Scott Tucker
• Kirsti F. Turella, DMD
• Deborah J Turner, PAC
• Michelle L Turner, ARNP
• Donald James Tyler, CDPT.CO.60264660
• Meggan Uecker, LMP

• Periodontics in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.