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Contact Information

DENNIS M TUCKER, DDS
622 ROOSEVELT RD
STE 180
SAINT CLOUD, MN56301-6153
 Phone: 320-259-5078
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for DENNIS M TUCKER · (Male)

NPI # 1962577338
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/21/2006
Last updated 07/05/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MN License # D11410
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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