| Scott F Tucker, Dds Ms Pa | |
|
2287 Cloverdale Ave Winston Salem NC 27103-2301 | |
| (704) 547-1970 | |
| (704) 547-1926 |
| Full Name | Scott F Tucker, Dds Ms Pa |
|---|---|
| Speciality | Dentist |
| Location | 2287 Cloverdale Ave, Winston Salem, North Carolina |
| Authorized Official Name and Position | Scott F Tucker (PRESIDENT) |
| Authorized Official Contact | 7812133336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott F Tucker, Dds Ms Pa Po Box 505117 Saint Louis MO 63150-5117 Ph: (781) 213-3336 | Scott F Tucker, Dds Ms Pa 2287 Cloverdale Ave Winston Salem NC 27103-2301 Ph: (704) 547-1970 |
| NPI Number | 1063589711 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 04/10/2025 |
| Medicare PECOS PAC ID | 5799753547 |
|---|---|
| Medicare Enrollment ID | O20040920001231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063589711 | NPI | - | NPPES |
| 8993101 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Raymond S Garrison |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1952491102 PECOS PAC ID: 7315103355 Enrollment ID: I20120719000443 |
| Provider Name | Judith K Messura |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134230741 PECOS PAC ID: 0042476087 Enrollment ID: I20120720000008 |
Charlotte Broughton, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Lockland Ave, Winston Salem, NC 27103 Phone: 336-722-7534 Fax: 336-722-4518 | |
Lisa R. Gaither Dmd P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1027 Hanes Mall Blvd, Winston Salem, NC 27103 Phone: 828-697-2826 | |
K. Jasinski, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5595 Robin Lark Cir, Winston Salem, NC 27106 Phone: 743-999-7937 Fax: 743-999-7256 | |
Cuthrell, Dds And Mochnick, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1341 Westgate Center Dr Ste B, Winston Salem, NC 27103 Phone: 336-765-3712 Fax: 336-760-0667 | |
Andrew C Geer Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3745 Reynolda Rd, Winston Salem, NC 27106 Phone: 336-922-2542 Fax: 336-922-1547 | |
Alterman & Dhillon Piedmont, Pplc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 336 E Hanes Mill Rd, Winston Salem, NC 27105 Phone: 336-450-2077 | |
Spangler, Lambert And Lipp, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1544 N Peace Haven Rd, Winston Salem, NC 27104 Phone: 336-768-1332 Fax: 336-768-9470 |