DR. MICHAEL RANDOLPH TUCKER (NPI# 1962554535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962554535 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL RANDOLPH TUCKER |
| Credential | DDS |
| Practice Address |
502 Prairie Winnsboro LA 71295 |
| Practice Telephone | 3184356155 |
| Practice Fax Number | 3184356155 |
| Mailing Telephone | 3184356155 |
| Mailing Fax Number | 3184356155 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2162 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1821624 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417332321 | Michael Tucker | Physician Assistant | 5171 N Santa Monica Blvd, Apt 4, Milwaukee, WI 53217-5538 | 2015-07-22 |
| 1699073783 | Michael David Tucker | Counselor | 309 W 12th St., Vancouver, WA 98660-1209 | 2011-03-14 |
| 1962524793 | Michael C Tucker | Counselor | 748 Timbercreek Road, Dixon, IL 61021 | 2007-04-04 |
| 1477661882 | Michael C Tucker | Chiropractor | 7721 Dollarway Rd, Suite 1, White Hall, AR 71602 | 2006-08-26 |
| 1972148930 | Michael Tucker | Case Manager/Care Coordinator | 2000 Aldersgate Rd, Little Rock, AR 72205-7018 | 2019-11-14 |
| 1306489463 | Michael Tucker | Anesthesiologist Assistant | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2019-10-22 |
| 1881247328 | Michael Tucker | Dentist | 222 N Chelan Ave, Wenatchee, WA 98801-2105 | 2019-07-23 |
| 1902210107 | Michael A Tucker | Optometrist | 1155 Pocatello Creek Rd, Pocatello, ID 83201-2949 | 2014-06-16 |
| 1831471457 | Michael A Tucker | Pharmacist | 7338 Dixie Hwy, Louisville, KY 40258-3722 | 2011-09-10 |
| 1073703187 | Michael James Tucker | Orthopaedic Surgery | 900 Cooper Ave, Suite 3100, Saginaw, MI 48602-5182 | 2007-07-26 |
| Street Address |
502 PRAIRIE |
| City | WINNSBORO |
| State | LA |
| Zip Code | 71295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365963 | Allyson Maxwell | Speech-Language Pathologist | 2330 Hwy La 15, Winnsboro, LA 71295 | 2020-01-22 |
| 1326564311 | Geaux Fit of La LLC | Physical Therapist | 3630 Front St, Winnsboro, LA 71295 | 2017-08-21 |
| 1407372220 | Pauline T Powell | Case Manager/Care Coordinator | 920 Maple St, Winnsboro, LA 71295 | 2017-08-15 |
| 1831613801 | Desi D Hoard | Counselor | 2513 Martin Dr., Winnsboro, LA 71295 | 2017-08-01 |
| 1174975213 | Tanya Grant | Case Manager/Care Coordinator | 2411 Gary St, Winnsboro, LA 71295 | 2016-07-12 |
| 1285085050 | Casey Ryan | Physical Therapist | 6340 Hwy 4, Winnsboro, LA 71295 | 2016-06-23 |
| 1003264649 | Ta'erica Manuel | Counselor | 1113 Lavender Dr, Winnsboro, LA 71295 | 2016-05-24 |
| 1073969168 | Ladill Majors | Counselor | 1459 Highway 618, Winnsboro, LA 71295 | 2016-05-09 |
| 1386090587 | Lakeisha Crockett | Case Manager/Care Coordinator | 2406c West St, Winnsboro, LA 71295 | 2016-05-06 |
| 1982064069 | Refford Oliver Sr. | Counselor | 2406 West St, Winnsboro, LA 71295 | 2016-03-02 |
| Find all providers in zip 71295 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760645063 | Neil Thomas Wrenn | Dentist | 123 Us Highway 321 Byp S, Winnsboro, SC 29180-7047 | 2008-07-07 |
| 1427117357 | Henry Frank Cannaday | Dentist | 505 South Mill Street, Winnsboro, TX 75494 | 2006-12-06 |
| 1811001944 | Gerald Crittenden Golden Jr. | Dentist | 6909 Prairie Road, Winnsboro, LA 71295 | 2006-08-18 |
| 1639730500 | Carlee J Holland | Dentist | 402 S Main St, Winnsboro, TX 75494-3226 | 2019-06-21 |
| 1588028856 | Little Smiles | Dentist | 610 Prairie St, Winnsboro, LA 71295-2628 | 2016-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322925 | E Edward Hood Jr, Dds - Livingston, Pllc | Dentist | 29160 S Frost Rd, Livingston, LA 70754-2620 | 2020-10-05 |
| 1962029934 | Abisola Jegede | Dentist | 3411 Nelson Rd Ste 100, Lake Charles, LA 70605-1240 | 2020-06-25 |
| 1932724572 | Jason Allen Simms | Dentist | 5480 Sleepy Hollow Dr, Baton Rouge, LA 70817-2142 | 2020-06-09 |
| 1659995413 | Tami Thuy Nguyen | Dentist | 5220 Lapalco Blvd, Marrero, LA 70072-4248 | 2020-06-07 |
| 1306460001 | Bfd Madisonville Associates LLC | Dentist | 109 Pine Creek Drive, Suite B, Madisonville, LA 70447 | 2020-05-29 |
| 1891317491 | Hood Dental Care | Dentist | 32871 La Highway 16, Denham Springs, LA 70706-0960 | 2020-05-18 |
| 1609415561 | Jacob Dent, D.d.s., Dentists of Mandeville, A Professional Corporation | Dentist | 3421 E Causeway Approach Ste A, Mandeville, LA 70448-3447 | 2019-12-24 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1366004186 | Hunter Brooks | Dentist | 107 Suwanee Rd, Lafayette, LA 70503-6111 | 2019-07-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.