Individual provider · Type 1 NPI

Stephen Tackett, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Corbin, KY

NPI number 1104112556 Active

Practice location

727 W Cumberland Gap Pkwy Ste D
Corbin, KY 40701

Other practice locations

  • University Of Kentucky & Affiliates 800 Rose St, Lexington, KY 40536-0001 · (859) 257-3462

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X9023 (KY)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X9023 (KY)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1104112556

Stephen Tackett, DMD's National Provider Identifier is 1104112556, issued on Jun 23, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Corbin, KY. The record was last updated on Jan 18, 2024.