Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN C TACKETT, DMD
Active Sole ProprietorDR. JOHN C TACKETT, DMD is a Oral & Maxillofacial Surgery healthcare provider located in SALEM, Indiana. NPI 1578666426 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · SALEM, IN
Registration Details
- NPI Number
- 1578666426
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2006 (19.929922388678 yrs)
- Last Updated
- Jul 8, 2007
- License
-
12009512A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
102 N HARRISON STSALEM, IN, 471671426Browse IN providers · Browse ZIP 47167
- Phone
- 8128834281
- Fax
- 8128834289
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
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.