| Travis C Tucker, Dmd., Inc. | |
| 
					1425 Victor Ave Ste A Redding CA 96003-4857  | |
| (717) 660-6426 | |
| Not Available | 
| Full Name | Travis C Tucker, Dmd., Inc. | 
|---|---|
| Speciality | Dentist | 
| Location | 1425 Victor Ave Ste A, Redding, California | 
| Authorized Official Name and Position | Travis Craig Tucker (PRESIDENT) | 
| Authorized Official Contact | 7176606426 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Travis C Tucker, Dmd., Inc. 543 Jefferson St Redlands CA 92374-3995 Ph: (717) 660-6426  | Travis C Tucker, Dmd., Inc. 1425 Victor Ave Ste A Redding CA 96003-4857 Ph: (717) 660-6426  | 
| NPI Number | 1306320171 | 
|---|---|
| Provider Enumeration Date | 09/18/2018 | 
| Last Update Date | 09/18/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306320171 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary | 
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