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Contact Information

MARTIN J TUCK, DDS, MS
2501 COOLIDGE RD
SUITE 201
EAST LANSING, MI48823-6352
 Phone: 517-351-0800
 Fax: 517-351-3399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for MARTIN J TUCK · (Male)

NPI Number 1033239744
Status Active
Credentials DDS, MS
Entity Individual
Enumeration date 03/29/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 2901011641
  • MI Other 1953310700 BCBS MEDICAL PIN #
  • MI Other 2901011641 LICENSE #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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