Tackett, Stephen

Tackett, Stephen is an individual health care provider with primary practice located at 727 W Cumberland Gap Pkwy Ste D , Corbin KY 40701. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Tackett, Stephen can be contacted via phone (606) 523-2000.

Contact Information

Primary practice address
727 W Cumberland Gap Pkwy Ste D Corbin KY 40701
Phone: (606) 523-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9023 Kentucky
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 9023 Kentucky

Profile Details

NPI number 1104112556
LBN Legal business name Tackett, Stephen
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2011
Last updated Jan 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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