Stephen Tackett D.M.D.

NPI 1104112556 - Dentist - 122300000X

NPI Details
NPI 1104112556
Gender Male
Enumeration Date 06/23/2011
Last Updated 01/25/2013
Entity Type Individual
Active Over 5 years ago
Practice Location
UNIVERSITY OF KENTUCKY & AFFILIATES 800 ROSE ST
LEXINGTON KY, 40536-0001, US
Phone (859) 257-3462
Fax (859) 323-2036
Business Location
UNIVERSITY OF KENTUCKY & AFFLILIATES 800 ST
LEXINGTON KY, 40536-0001, US
Phone (859) 257-3462
Fax (859) 323-2036
Toxanomy
Taxonomy Code 122300000X
License State Kentucky
License Number 9023
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According to our database, Dr. Stephen Tackett D.M.D. NPI is 1104112556, taxonomy code is 122300000X and license number is 9023, license state is located at Kentucky. Stephen Tackett D.M.D. physically located at University Of Kentucky & Affiliates 800 Rose St, Lexington KY, 40536-0001. NPI Number Stephen Tackett D.M.D. has the Individual type.

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1104112556 NPI number is provided on an as is basis without warranty of any kind. 1104112556 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Tackett D.M.D. are for informational purposes only.