| Steven R. Tucker P.s.c. | |
|
909 Scherm Rd Owensboro KY 42301-6048 | |
| (270) 926-4107 | |
| (270) 926-4166 |
| Full Name | Steven R. Tucker P.s.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 909 Scherm Rd, Owensboro, Kentucky |
| Authorized Official Name and Position | Steven R. Tucker (CEO) |
| Authorized Official Contact | 2709264107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven R. Tucker P.s.c. 909 Scherm Rd Owensboro KY 42301-6048 Ph: (270) 926-4107 | Steven R. Tucker P.s.c. 909 Scherm Rd Owensboro KY 42301-6048 Ph: (270) 926-4107 |
| NPI Number | 1871718833 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871718833 | NPI | - | NPPES |
| 64044753 | Medicaid | KY | |
| 60044757 | Medicaid | KY | |
| 000000208416 | Other | KY | BLUECROSS |
| 65912016 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4475 (Kentucky) | Primary |
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