Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TUCKER WILLIAM GROSS, RDH
Active Sole ProprietorTUCKER WILLIAM GROSS, RDH is a Dental Hygienist healthcare provider located in WATERTOWN, South Dakota. NPI 1235577495 is currently active in the NPPES registry. Verify at CMS.
Dental Hygienist · WATERTOWN, SD
Registration Details
- NPI Number
- 1235577495
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2013 (13.133770801946 yrs)
- Last Updated
- Jun 10, 2013
- License
-
DH1175 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1306 S LAKE DRWATERTOWN, SD, 572015450Browse SD providers · Browse ZIP 57201
- Phone
- 6052224489
- Primary Specialty
-
Dental Hygienist
124Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.