Donald N. Tuck DDS LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DONALD N. TUCK DDS LTD

Practice address

1121 Warren Ave.
Suite 120
Downers Grove, IL 60515-3571

Phone

(630) 969-0654

Fax

(630) 969-3601

NPI assigned

Dec 5, 2008

Organization subpart

Yes

Parent organization

DONALD N. TUCK DDS LTDAs reported in NPPES

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

Authorized official

Name

Dr. Donald N. Tuck, DDS

Title

Owner/Presideent

Phone

(630) 969-0654

Specialties & licenses 1

Addresses

Part of

Donald N Tuck DDS LTD

Locations

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1992940829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 WARREN AVE.",
            "address_2": "SUITE 120",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153571",
            "telephone_number": "630-969-0654",
            "fax_number": "630-969-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 WARREN AVE.",
            "address_2": "SUITE 120",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153571",
            "telephone_number": "630-969-0654",
            "fax_number": "630-969-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD N. TUCK DDS LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DONALD N. TUCK DDS LTD",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "TUCK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER/PRESIDEENT",
        "authorized_official_telephone_number": "630-969-0654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Dolan, APN
• Kristine Anne Dechavez Doligosa, APRN
• Joanna Martha Domanski, PT, DPT
• Dominus Mental Health LLC
• Nina Donahue
• Bruce Donenberg, MD
• Molly Donofrio, LMT
• Anil Vamsi Doppalapudi, M.D
• Egon Mr Doppenberg, MD
• Peter Edward Doris, M.D.

• General Practice Dentistry in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.