DR. Alisha Dawn Tackitt, DMD

NPI #1669608139 in Mt Sterling, Kentucky

Provider Information

NPI Number: 1669608139
Entity Type: Individual
Name: DR. Alisha Dawn Tackitt, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 10, 2009
Last Updated: Mar 9, 2010

Practice Location

Address: 1107 INDIAN MOUND DR
Address 2: C COLONY SHOPPES
City: Mt Sterling
State: Kentucky
ZIP Code: 40353-1300
Phone: (859) 498-2356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Specialist	174400000X

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