DR. ALAN CHARLES TUCKER D.D.S.
NPI 1457435653
Dentist - Oral and Maxillofacial Surgery in Lilburn, GA

Active since October 24, 2006PECOS Enrolled
639A BEAVER RUIN RD NW, LILBURN, GA 30047(770) 923-5200(770) 564-0613 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alan Charles Tucker D.d.s. NPPES

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

DR. ALAN CHARLES TUCKER D.D.S. (NPI 1457435653) is an individual oral and maxillofacial surgery provider in Lilburn, Georgia, licensed in Georgia (#10864) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457435653
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ALAN CHARLES TUCKERCredential: D.D.S.
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
Fax(770) 564-0613
Sole ProprietorYes
Enumeration DateOctober 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1457435653 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

Other Identifiers 2

Medicare UPINUL26295
Medicare ID-Type Unspecified19NCBJD

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Alan Charles Tucker D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Dentist (Oral and Maxillofacial Surgery)
639A BEAVER RUIN RD NW
LILBURN, GA 30047

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 Tucker's NPI number?

The NPI number for Alan Tucker is 1457435653. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Alan Tucker located?

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

What is Alan Tucker's specialty?

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

Is Alan Tucker enrolled in Medicare?

Yes. Alan Tucker is registered in the Medicare PECOS enrollment system.

What insurance does Alan Tucker accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 1 other insurer list Alan Tucker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alan Tucker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.