DR. Stephen Tackett, D.M.D.

NPI #1104112556 in Corbin, Kentucky

Provider Information

NPI Number
1104112556
Entity Type
Individual
Name
DR. Stephen Tackett, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
D.M.D.
Enumeration Date
Jun 23, 2011
Last Updated
Jan 18, 2024

Practice Location

Address
727 W CUMBERLAND GAP PKWY STE D
City
Corbin
ZIP Code
40701
Phone
(606) 523-2000

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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