DR. Alec Ray Tackett, DDS

NPI #1396873972 in Newtown, Ohio

Provider Information

NPI Number
1396873972
Entity Type
Individual
Name
DR. Alec Ray Tackett, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Mar 2, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
6911 MAIN ST
State
Ohio
ZIP Code
45244-3008
Phone
(513) 272-2792

Specialties & Taxonomy Codes

Specialty
Dentist

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