P Praxis·MD
● Active Type 2 · Organization

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

Dentist·Lilburn, GA· NPI 1104904036 · Enumerated 2006 · 19 years on NPI
Alan C. Tucker, D.d.s., P.c. is 1 of 358 dentist organizations in Georgia.
NPI age
19 years
Enumerated 2006-11-01
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tucker
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 358 active dentist providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
639a Beaver Ruin Rd Nw
Lilburn, GA 300473401
📞 7709235200fax 7705640613
Mailing address
639a Beaver Ruin Rd Nw
Lilburn, GA 300473401
📞 7709235200fax 7705640613

Authorized official

Alan Charles Tucker, D.D.S.
President
📞 7709235200

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    The specialty of dentistry which includes 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.
    GA license #10864 taxonomy 1223S0112X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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