Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DANNY KEITH TACKETT, DMD
Deactivated Sole ProprietorDR. DANNY KEITH TACKETT, DMD is a Dentist healthcare provider located in JACKSBORO, Tennessee. NPI 1376535104 is deactivated in the NPPES registry. Verify at CMS.
Dentist · JACKSBORO, TN
This NPI has been deactivated.
The record was deactivated on March 23, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1376535104
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2005 (0.59452054794521 yrs)
- Last Updated
- Sep 18, 2007
- Deactivated
- Mar 23, 2006
- License
-
DS7240 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2707 JACKSBORO PIKESUITE #4JACKSBORO, TN, 377572752Browse TN providers · Browse ZIP 37757
- Phone
- 4235660401
- Fax
- 4235660423
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in JACKSBORO, TN
| Name | Credential | NPI |
|---|---|---|
| MARK ANTHONY COLLINS | DMD | 1558385278 |
| DR. FRANK TOWNSEND METELKA | DDS | 1033466289 |
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.