1. Home
  2. Directory
  3. Pennsylvania
  4. Charleroi
  5. Dentist
  6. NPI Profile

DAVIDSON- TUCKER ORAL SURGERY ASSOCIATES
NPI 1629007505
Dentist - Oral and Maxillofacial Surgery in Charleroi, PA

Active since July 02, 2006
17 ARENTZEN BLVD, SUITE #104, CHARLEROI, PA 15022(724) 483-5080(724) 483-3760 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Davidson- Tucker Oral Surgery Associates NPPES

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

DAVIDSON- TUCKER ORAL SURGERY ASSOCIATES (NPI 1629007505) is a healthcare organization registered as an oral and maxillofacial surgery in Charleroi, Pennsylvania and active in the NPI registry since July 2006. The organization lists Charles Peter Tucker, President, Davidson-tucker Oral Sur, as its authorized official.

NPPES Registry Identity

NPI1629007505
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameDAVIDSON- TUCKER ORAL SURGERY ASSOCIATES
Location Address17 ARENTZEN BLVD, SUITE #104Charleroi, PA 15022-1085
Mailing Address17 Arentzen Blvd, Suite #104Charleroi, PA 15022-1085 · (724) 483-5080 · Fax (724) 483-3760
Phone(724) 483-5080
Fax(724) 483-3760
Organization SubpartNo
Authorized OfficialCharles Peter TuckerPresident, Davidson-tucker Oral Sur · (724) 483-5080
Enumeration DateJuly 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629007505 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 PA · DS026650-L
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.
17 ARENTZEN BLVD, Charleroi, PA 15022
Open in Google Maps ↗

Other Identifiers 1

Medicaid0525357PA

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 6

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

FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
17 ARENTZEN BLVD, STE. 105 VISTA 1 PROF.CTR. CKD SERVICES OF MON VALLEY
CHARLEROI, PA 15022
Washington County (724) 489-0850
MRS. COLLEEN MALENA PETITTO RD, LDN, CDE
Dietitian, Registered
17 ARENTZEN BLVD, VISTA ONE PROFESSIONAL CENTER SUITE 105
CHARLEROI, PA 15022
Washington County (724) 489-0850
UMBERTO ANTHONY DERIENZO MD
Family Medicine
17 ARENTZEN BLVD
CHARLEROI, PA 15022
Washington County (724) 483-3581
DERIENZO FAMILY PRACTICE
Family Medicine
17 ARENTZEN BLVD
CHARLEROI, PA 15022
Washington County (724) 483-3581
PRIMARY CARE GROUP 12, INC.,
Family Medicine
17 ARENTZEN BLVD, SUITE 101
CHARLEROI, PA 15022
Washington County (724) 483-3581
DERIENZO FAMILY PRACTICE, P.C.
Non-Pharmacy Dispensing Site
17 ARENTZEN BLVD, 101
CHARLEROI, PA 15022
Washington County (724) 483-3581

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 Davidson- Tucker Oral Surgery Associates's NPI number?

The NPI number for Davidson- Tucker Oral Surgery Associates is 1629007505. It was assigned to this organization in the NPPES registry on July 2, 2006.

Where is Davidson- Tucker Oral Surgery Associates located?

Davidson- Tucker Oral Surgery Associates is located at 17 Arentzen Blvd Suite #104, Charleroi, PA 15022. The listed phone number is (724) 483-5080.

What is Davidson- Tucker Oral Surgery Associates'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 Davidson- Tucker Oral Surgery Associates 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 6 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.