DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHAVON TUCKER, DDS

Active

DR. SHAVON TUCKER, DDS is a Dentist healthcare provider located in MILWAUKEE, Wisconsin. NPI 1316780422 is currently active in the NPPES registry. Verify at CMS.

Dentist · MILWAUKEE, WI

Registration Details

NPI Number
1316780422
Provider Type
Individual
Gender
Female
NPI Issued
Jun 17, 2024 (2.1969694296698 yrs)
Last Updated
Jul 17, 2025
Licenses
2024022265 (MO)
6001651-15 (WI)
6001651-15 (WI)

Practice Information

Address
2555 N DR MARTIN LUTHER KING JR DR
MILWAUKEE, WI, 532122709
Browse WI providers · Browse ZIP 53212
Phone
4142672670
Fax
4145628432
Primary Specialty
Dentist
122300000X
Additional Specialty
General Dentistry
Additional Specialty
Dentist

Other Dentist Providers in MILWAUKEE, WI

Name Credential NPI
DR. RICHARD LEE LAGERMAN DDS 1821090259
DR. MICHAEL STEVEN DEWAN DDS 1225022817
DR. TANWIR H SYED 1679561724
DR. RANDY R CIEPLUCH DDS 1245221977
DR. TIMOTHY JOHN CREAMER D.D.S. 1790743193
DR. RICHARD LEE ROSEN DMD 1558305250
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.