Provider Demographics
NPI:1447324280
Name:TUGGLE, DAVID ERIC (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ERIC
Last Name:TUGGLE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7009 MONTGOMERY BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109
Mailing Address - Country:US
Mailing Address - Phone:505-291-9600
Mailing Address - Fax:505-299-5280
Practice Address - Street 1:7009 MONTGOMERY BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109
Practice Address - Country:US
Practice Address - Phone:505-291-9600
Practice Address - Fax:505-299-5280
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK58151223S0112X
NMDD 30871223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery