Trent Tucker
Dentist (Oral and Maxillofacial Surgery)

Address: 7325 Far Hills Ave, Dayton, OH 45459-4415
Phone: 9374391606

Trent Tucker (NPI# 1336373679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1336373679
Entity Type Individual
Full Name Trent Tucker
Credential D.D.S.
Gender Male
Practice Address 7325 Far Hills Ave
Dayton
OH 45459-4415
Practice Telephone 9374391606
Mailing Address 8607 Sea Pines Ln
Dayton
OH 45458-3321
Mailing Telephone 4196800023
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2009-05-14
Last Update Date 2016-04-18

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1223S0112X Dentist · Oral and Maxillofacial Surgery Dental Providers 30-024376 OH

Physician Overview

NPI 1336373679
PAC ID by PECOS 6103137674
Professional Enrollment ID I20150624002728
Full Name Trent Tucker
Gender M
Medical School COLUMBIA UNIV SCHOOL OF DENTAL & ORAL SURGERY
Graduation Year 2009
Primary Specialty ORAL SURGERY
Accepts Medicare Assignment Y

Office Location

Street Address 7325 FAR HILLS AVE
City DAYTON
State OH
Zip Code 45459-4415

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942396791 Michael A Herman Dds Inc Dentist 7325 Far Hills Ave, Dayton, OH 45459-4415 2006-10-05
1942694583 South Dayton Oral & Maxillofacial Surgery Inc Dentist 7325 Far Hills Ave, Dayton, OH 45459-4415 2015-03-20
1255527958 Michael Andrew Herman Dentist 7325 Far Hills Ave, Dayton, OH 45459-4415 2007-09-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689179855 Paragon Infusion Therapy, LLC Durable Medical Equipment & Medical Supplies 1746 Thomas Paine Pkwy, Centerville, OH 45459 2018-03-28
1922555473 Hannah Gualtieri Specialist/Technologist Miami Valley Drive, Suite 320, Centerville, OH 45459 2016-09-01
1326410028 Kathleen E Dorsten Marriage & Family Therapist 37 Irongate Park Dr, Centerville, OH 45459 2015-10-21
1184000846 Valeriya Falkenshtern Specialist/Technologist 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 2015-08-05
1710236450 Mital Patel Physical Therapist 2267 Forestdean Court, Dayton, OH 45459 2012-09-07
1700169331 Monica Lynn Carrico Registered Nurse 7625 Paragon Road Suite C, Dayton, OH 45459 2011-09-20
1427360080 Tonia S Campbell Physical Therapist 1235 E. Alex Bell Road, Centerville, OH 45459 2010-07-11
1265768956 Health At Home, LLC Home Health 6443 Bethany Village Drive, Dayton, OH 45459 2009-10-30
1881826337 Annetta Jean Davis Social Worker 7950 Clyo Road, Centerville, OH 45459 2009-08-18
1740459783 Ryan A Long Dentist 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 2008-02-25
Find all providers in zip 45459

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942396791 Michael A Herman Dds Inc Dentist 7325 Far Hills Ave, Dayton, OH 45459-4415 2006-10-05
1477668176 Samuel L Hayes Dentist 232 Collingwood Ave, Dayton, OH 45419-3908 2006-08-20
1942298211 Harold F Doench Dentist 3550 Far Hills Ave, Dayton, OH 45429-2502 2005-10-11
1003804303 Michele Lynn Bloxson Dentist 4257 W 3rd St, Dayton, OH 45417-1406 2005-10-11
1942694583 South Dayton Oral & Maxillofacial Surgery Inc Dentist 7325 Far Hills Ave, Dayton, OH 45459-4415 2015-03-20
1255527958 Michael Andrew Herman Dentist 7325 Far Hills Ave, Dayton, OH 45459-4415 2007-09-18
1295928844 Steven C. Jacks, D.d.s., Inc. Dentist 7111 N Main St, Dayton, OH 45415-2565 2007-08-27
1548489230 Robert Thomas Perry Dentist 5335 Far Hills Ave, Suite 118, Dayton, OH 45429-2350 2007-04-24
1700890340 Douglas Dennis Richardson Sr. Dentist 4100 W 3rd St, Dental (160), Dayton, OH 45428-9000 2006-07-28
1952320798 Steven C. Jacks Dentist 7111 N Main St, Suite 30, Dayton, OH 45415-2565 2006-07-19
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45459

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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