S. Adam Tackett, Dmd, Ms, Pllc

NPI #1548725765 in Corbin, Kentucky

Provider Information

NPI Number: 1548725765
Entity Type: Organization
Organization Name: S. Adam Tackett, Dmd, Ms, Pllc
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Feb 1, 2019
Last Updated: Feb 1, 2019

Practice Location

Address: 727 W CUMBERLAND GAP PKWY STE D
City: Corbin
State: Kentucky
ZIP Code: 40701-5194
Phone: (606) 523-2000

Authorized Official

Name: DR. STEPHEN ADAM TACKETT, DMD, MS
Title: ORTHODONTIST
Phone: (606) 523-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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Organizations

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Corbin-Greer & Greer, Psc	Dentist - Orthodontics and Dentofacial Orthopedics	Corbin	AI Deep Dive
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