| S. Adam Tackett, Dmd, Ms, Pllc | |
|
727 W Cumberland Gap Pkwy Ste D Corbin KY 40701-5194 | |
| (606) 523-2000 | |
| Not Available |
| Full Name | S. Adam Tackett, Dmd, Ms, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 727 W Cumberland Gap Pkwy Ste D, Corbin, Kentucky |
| Authorized Official Name and Position | Stephen Adam Tackett (ORTHODONTIST) |
| Authorized Official Contact | 6065232000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S. Adam Tackett, Dmd, Ms, Pllc 727 W Cumberland Gap Pkwy Ste D Corbin KY 40701-5194 Ph: () - | S. Adam Tackett, Dmd, Ms, Pllc 727 W Cumberland Gap Pkwy Ste D Corbin KY 40701-5194 Ph: (606) 523-2000 |
| NPI Number | 1548725765 |
|---|---|
| Provider Enumeration Date | 02/01/2019 |
| Last Update Date | 02/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548725765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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