Fred Tucker Mcdonald DDS,MSD

NPI 1023159332 - Dentist - 1223X0400X

NPI Details
NPI 1023159332
Gender Male
Enumeration Date 02/09/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3900 S OLIVE ST
PINE BLUFF AR, 71603-6745, US
Phone (870) 536-6430
Fax
Business Location
3900 S OLIVE ST
PINE BLUFF AR, 71603-6745, US
Phone (870) 536-6430
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State Arkansas
License Number 1983
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According to our database, Dr. Fred Tucker Mcdonald DDS,MSD NPI is 1023159332, taxonomy code is 1223X0400X and license number is 1983, license state is located at Arkansas. Fred Tucker Mcdonald DDS,MSD physically located at 3900 S Olive St, Pine Bluff AR, 71603-6745. NPI Number Fred Tucker Mcdonald DDS,MSD has the Individual type.

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1023159332 NPI number is provided on an as is basis without warranty of any kind. 1023159332 is maintained by the National Plan & Provider Enumeration System. The contents of Fred Tucker Mcdonald DDS,MSD are for informational purposes only.