DR. John C Tackett, DMD

NPI #1578666426 in Salem, Indiana

Provider Information

NPI Number
1578666426
Entity Type
Individual
Name
DR. John C Tackett, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DMD
Enumeration Date
Sep 6, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
102 N HARRISON ST
City
Salem
State
Indiana
ZIP Code
47167-1426
Phone
(812) 883-4281

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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