| Dr Michael Randolph Tucker, DDS | |
|
502 Prairie, Winnsboro, LA 71295 | |
| (318) 435-6155 | |
| (318) 435-6155 |
| Full Name | Dr Michael Randolph Tucker |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 502 Prairie, Winnsboro, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962554535 | NPI | - | NPPES |
| 1821624 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2162 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Randolph Tucker, DDS 502 Prairie, Winnsboro, LA 71295 Ph: (318) 435-6155 | Dr Michael Randolph Tucker, DDS 502 Prairie, Winnsboro, LA 71295 Ph: (318) 435-6155 |
Dr. Robert C. Brooks, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1511 Eighth St, Winnsboro, LA 71295 Phone: 318-435-4648 Fax: 318-435-3005 | |
Dr. John Thomas Little Ii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 610 Prairie St, Winnsboro, LA 71295 Phone: 318-435-4694 Fax: 318-435-5503 |