Active NPI
Steven J Tucker, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Mebane, NC
National Provider Identifier
1902461684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 14484
- Practice address
- 1107 S Fifth St Ste 250
Mebane, NC 27302-9896 - Phone
- (919) 563-2873
- NPI assigned
- May 7, 2019
- Last updated
- Oct 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 14484 | NC | Primary |
Addresses
Primary practice location
1107 S Fifth St Ste 250
Mebane, NC 27302-9896
Mailing address
1107 S Fifth St Ste 250
Mebane, NC 27302-9896
Phone (919) 563-2873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14484 | NC | MD | Oral and Maxillofacial Surgery (Dentist) |
| 12485 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Peabody Oral Surgery Inc. | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Melrose Wakefield Oral Surgery Inc. | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Locations
6 Essex Center Dr
Ste 112A
Peabody, MA 01960
Phone (781) 323-4345
6 Essex Dr
Ste 112
Peabody, MA 01960
Phone (978) 531-1450
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery (Dentist)
- Peabody, MA
- NPI 1437198819
-
- Oral and Maxillofacial Surgery (Dentist)
- Melrose, MA
- NPI 1568409902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1902461684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 S FIFTH ST STE 250",
"city": "MEBANE",
"state": "NC",
"postal_code": "273029896",
"telephone_number": "919-563-2873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 S FIFTH ST STE 250",
"city": "MEBANE",
"state": "NC",
"postal_code": "273029896",
"telephone_number": "919-563-2873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "STEVEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-07",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NC",
"license": "14484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mebane, NC
- Triangle Health LLC
- Jennifer Lynn Trieskey, RN
- S Jason Troutman, D.D.S.
- Steven Eddie Troutman, DDS
- True Transformation Recovery and Wellness
- Jennifer Nicole Turner-Taylor, MSRC, CRC, LCMHCA
- Unc Physicians Network LLC (Mebane Primary Care)
- Unc Physicians Network, LLC (UNC Primary Care at Mebane)
- Erin Elizabeth Van Scoyoc, M.D., M.P.H.
- Victoria Gene Viola, D.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.