Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN TACKETT, D.M.D.
ActiveDR. STEPHEN TACKETT, D.M.D. is a Orthodontics healthcare provider located in CORBIN, Kentucky. NPI 1104112556 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · CORBIN, KY
Registration Details
- NPI Number
- 1104112556
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2011 (15.101650836321 yrs)
- Last Updated
- Jan 18, 2024
- Licenses
-
9023 (KY)9023 (KY)
Practice Information
- Address
-
727 W CUMBERLAND GAP PKWY STE DCORBIN, KY, 40701Browse KY providers · Browse ZIP 40701
- Phone
- 6065232000
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in CORBIN, KY
| Name | Credential | NPI |
|---|---|---|
| ALVIN BRENT CHUMBLEY | DMD MSD | 1548227259 |
| JAMES RUSSELL GREER | D.M.D., M.S. | 1851436307 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.