Shavon Tucker, DDS
Dentist · Milwaukee, WI
Shavon Tucker, DDS is a dentist with a practice address in Milwaukee, Wisconsin, and NPI 1316780422, issued on Jun 17, 2024. Check the license (Wisconsin 6001651-15, as entered in NPPES) with the Wisconsin board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Shavon Tucker
- Credential
- DDS
- Primary taxonomy
- Dentist 122300000X
- License numbers
- 6001651-15 WI
2024022265 MO
Self-reported in NPPES; status is on the state search - Practice location
- 2555 N Dr Martin Luther King JR Dr, Milwaukee, WI 53212
- Phone
- (414) 267-2670
- Enumerated
- Jun 17, 2024
- Record last updated
- Jul 17, 2025
- Fax
- (414) 562-8432
- Medicare enrollment
- Enrolled (PECOS I20250729002696); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest dentist records → All 1,750 in Wisconsin → Look up another NPI →
Also registered at 2555 N Dr Martin Luther King JR Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Flora Agyei, APNPPsychiatric/Mental Health Nurse Practitioner1336446806
- Sarah Borsdorf, DMDDentist1750625406
- Akintunde Bowden, D.D.S.General Practice Dentistry1962804534
- Johnisha Brown, MSN, APNP, FNP-BCFamily Nurse Practitioner1811697568
- Allyson Caselberry, DMDGeneral Practice Dentistry1356920078
- Angela Ellis, RDN, CD, CLCRegistered Dietitian1982241808
Verify Shavon Tucker in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 6001651-15Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Shavon Tucker among 1,750 dentist records in Wisconsin
Shavon Tucker, DDS is one of 1,750 dentist records with a practice address in Wisconsin. 60% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2024, is newer than 90% of them.
- NPI issued2024 · 90% of these records are older, 6% newer
- In a Medicare fileNo · 60% of these records are
- In the CMS Doctors and Clinicians fileYes · under 1% of these records are
- Graduated2024 · median 2021 among the 12 with a school on file
- Record last updated2025 · 67% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 122300000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Dentist providers in Wisconsin
There are 1,750 dentist records in Wisconsin. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,750 in Wisconsin → Every provider in Milwaukee → Dentist nationwide →
The 8 dentist records with the nearest ZIP codes
- Hala Afifa, DDSMilwaukee, WI 532121891363198
- Sarah Borsdorf, DMDMilwaukee, WI 532121750625406
- Michelle Dacosta, DDSMilwaukee, WI 532121104963784
- Madiha Khan, DDSMilwaukee, WI 532121386252781
- Richard Lightsey, D.D.SMilwaukee, WI 532121043657505
- Christopher McAboy, DDSGlendale, WI 532121003823436
- Morgan Moreau, DMDMilwaukee, WI 532121225727993
- Tim Ng, DMDMilwaukee, WI 532121477159234
Common questions
What is Shavon Tucker, DDS's NPI number?
Shavon Tucker, DDS's National Provider Identifier (NPI) is 1316780422, issued on Jun 17, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Shavon Tucker, DDS located?
The NPPES record lists a practice address at 2555 N Dr Martin Luther King JR Dr, Milwaukee, WI, 53212. Phone: (414) 267-2670. Providers update this record themselves, so call before visiting.
How can I verify Shavon Tucker, DDS's license?
NPPES lists Wisconsin license number 6001651-15, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.