Dr Alec Ray Tackett, DDS is a
Dentist based in Newtown, Ohio. Dr Alec Ray Tackett is licensed to practice in Ohio (license number 19486) and his current practice location is
6911 Main St, Newtown, Ohio. He can be reached at his office (for appointments etc.) via phone at
(513) 272-2792.
NPI number for Dr Alec Ray Tackett is 1396873972 and his current mailing address is 6911 Main St, Newtown, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396873972.
Healthcare Provider's Profile
| Full Name | Dr Alec Ray Tackett |
|---|
| Gender | Male |
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| Speciality | Dentist |
|---|
| Location | 6911 Main St, Newtown, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396873972
- Provider Enumeration Date: 03/02/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Alec Ray Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396873972 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 19486 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alec Ray Tackett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Alec Ray Tackett, DDS
6911 Main St,
Newtown, OH 45244-3008
Ph: (513) 272-2792 | Dr Alec Ray Tackett, DDS
6911 Main St,
Newtown, OH 45244-3008
Ph: (513) 272-2792 |
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