ALAN C. TUCKER, D.D.S., P.C.
NPI 1104904036
Dentist - Oral and Maxillofacial Surgery in Lilburn, GA

Q: What is Alan C. Tucker, D.D.S., P.C.'s NPI number?

The NPI number for Alan C. Tucker, D.D.S., P.C. is 1104904036. It was assigned to this organization in the NPPES registry on November 1, 2006.

Q: What is Alan C. Tucker, D.D.S., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since November 01, 2006

639A BEAVER RUIN RD NW, LILBURN, GA 30047(770) 923-5200(770) 564-0613 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alan C. Tucker, D.d.s., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALAN C. TUCKER, D.D.S., P.C. (NPI 1104904036) is a healthcare organization registered as an oral and maxillofacial surgery in Lilburn, Georgia and active in the NPI registry since November 2006. The organization lists Alan Charles Tucker, President, as its authorized official.

NPPES Registry Identity

NPI1104904036

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameALAN C. TUCKER, D.D.S., P.C.

Location Address639A BEAVER RUIN RD NWLilburn, GA 30047-3401

Mailing Address639a Beaver Ruin Rd NwLilburn, GA 30047-3401 · (770) 923-5200 · Fax (770) 564-0613

Phone(770) 923-5200

Fax(770) 564-0613

Organization SubpartNo

Authorized OfficialAlan Charles TuckerPresident · (770) 923-5200

Enumeration DateNovember 1, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1104904036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in GA · 10864

Definition

An oral and maxillofacial surgery dentist specialized in 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.

639A BEAVER RUIN RD NW, Lilburn, GA 30047

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALAN CHARLES TUCKER D.D.S.

Dentist (Oral and Maxillofacial Surgery)

639A BEAVER RUIN RD NW
LILBURN, GA 30047

Gwinnett County (770) 923-5200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alan C. Tucker, D.D.S., P.C.'s NPI number?

The NPI number for Alan C. Tucker, D.D.S., P.C. is 1104904036. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Alan C. Tucker, D.D.S., P.C. located?

Alan C. Tucker, D.D.S., P.C. is located at 639A Beaver Ruin Rd NW, Lilburn, GA 30047. The listed phone number is (770) 923-5200.

What is Alan C. Tucker, D.D.S., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Alan C. Tucker, D.D.S., P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.