MEDICARE: SCOTT F TUCKER, DDS MS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063589711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT F TUCKER, DDS MS PA

Provider Business Mailing Address
First Line	:	PO BOX 505117
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63150-5117
Country	:	US
Telephone Number	:	781-213-3336
Fax Number	:	781-224-4216

Provider Business Practice Location Address
First Line	:	2287 CLOVERDALE AVE
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-2301
Country	:	US
Telephone Number	:	704-547-1970
Fax Number	:	704-547-1926

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SCOTT F TUCKER
Credential	:	DDS
Telephone Number	:	781-213-3336

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	04/10/2025

Similar Medicare Providers

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1902025745 — DR. SCOTT FRANKLIN TUCKER D.D.S.
Practice Location Address:

2287 CLOVERDALE AVE
WINSTON SALEM, NC
27103-2301

Practice Phone: 336-837-2680
Practice Fax: 336-837-2681

1639463581 — MR. BRADLEY L MOSS
Practice Location Address:

2221 CLOVERDALE AVE
WINSTON SALEM, NC
27103-2301

Practice Phone: 336-723-4365
Practice Fax: 336-724-9674

1467746248 — DR. SANJAY GUJRATI PHARM.D
Practice Location Address:

2221 CLOVERDALE AVE
WINSTON SALEM, NC
27103-2301

Practice Phone: 336-724-7491
Practice Fax: 336-724-9674

1508151879 — PHILIP STAPLETON MD
Practice Location Address:

2301 CLOVERDALE AVE APT C
WINSTON SALEM, NC
27103-2027

Practice Phone: 516-451-8168
Practice Fax:

1831485622 — MRS. ALISA BOYETTE ORTMAN RPH
Practice Location Address:

2221 CLOVERDALE AVE
WINSTON SALEM, NC
27103-2301

Practice Phone: 336-724-7491
Practice Fax:

Directions to “SCOTT F TUCKER, DDS MS PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.