DR. SID MICHAEL TUCKER DDS NPI 1932418092

NPI Information

NPI: 1932418092
Provider Name: DR. SID MICHAEL TUCKER, DDS
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
446 ROUTE 304
BARDONIA, NY
ZIP 10954
Phone: (845) 623-6666
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DR. Sid Michael Tucker, DDS is a periodontics dentist in Bardonia, NY. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Sid Michael Tucker, DDS NPI is 1932418092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

446 ROUTE 304
BARDONIA, NY
ZIP 10954
Phone: (845) 623-6666

The enumeration date for this NPI number is 10/6/2010 and was last updated on 10/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0300X	Dentist	Periodontics	048814	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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