Active NPI 1962577338 Individual Practitioner Male Practitioner

Dr. Dennis Maxwell Tucker , DDS

Dentist - Endodontics • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Dr. Dennis Tucker, DDS is a registered healthcare professional specializing in Dentist - Endodontics in Saint Cloud, MN. Practice services are available at 622 ROOSEVELT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

622 Roosevelt Rd
Ste 180

Saint Cloud, MN 563016153

Telephone 3202595078

Associated Practice Facility / Clinic

🏢 Central Minnesota Group Health, Inc. Facility NPI 1922337344

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Saint Cloud, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Saint Cloud, MN (108 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License MN D11410

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 05, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 05, 2015

Registered at 622 ROOSEVELT RD, STE 180, SAINT CLOUD, MN 563016153 (Tel: 3202595078)

📍

Updated Business Mailing Address July 05, 2015

Registered at 622 ROOSEVELT RD 180, SAINT CLOUD, MN 563016361 (Tel: 3202595078)

👤

Provider Name / Credentials Updated July 05, 2015

Recorded as DENNIS TUCKER, D.D.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2015

Dentist (License #D11410 in MN)

🟢

Initial NPI Registration & Enumeration November 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962577338

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 21, 2006

Last Update: July 05, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

622 Roosevelt Rd 180

Saint Cloud, MN 563016361

Phone: 3202595078

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.