Jarrel Leeland Tackett, DMD
NPI #1235353277 in Mars, Pennsylvania
Provider Information
- NPI Number
- 1235353277
- Entity Type
- Individual
- Name
- Jarrel Leeland Tackett, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 221 CROWE AVE
- City
- Mars
- State
- Pennsylvania
- ZIP Code
- 16046-0409
- Phone
- (724) 625-2530
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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