DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANNETTE ALLISON TACKE, RDH

Active Sole Proprietor

Dental Hygienist · LONGVIEW, WA

Registration Details

NPI Number
1407192073
Provider Type
Individual
Gender
Female
NPI Issued
Dec 29, 2012 (13.320880411365 yrs)
Last Updated
Dec 29, 2012
License
DH00007476 (WA)
Sole Proprietor
Yes

Practice Information

Address
115 KIRKLAND RD
LONGVIEW, WA, 986320701
Browse WA providers · Browse ZIP 98632
Phone
2536530042
Primary Specialty
Dental Hygienist
124Q00000X

Other Dental Hygienist Providers in LONGVIEW, WA

Name Credential NPI
DAPHNE MARIE CHADWICK RDH 1952413817
ANITA LOUISE BACH RDH 1912019027
DONNA MARIE JESSEN RDH 1134231228
MRS. JANA MICHELLE ANDERSON R.D.H. 1376899831
MAMIE LEE 1518383942
KELLY A HOLLINGSHEAD RDH 1134507767
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.