Dr Stephen Tackett, DMD - Dentist in Corbin, KY

Dr Stephen Tackett, DMD is a Dentist - Orthodontics And Dentofacial Orthopedics based in Corbin, Kentucky. Dr Stephen Tackett is licensed to practice in Kentucky (license number 9023) and his current practice location is 727 W Cumberland Gap Pkwy Ste D, Corbin, Kentucky. He can be reached at his office (for appointments etc.) via phone at (606) 523-2000.

NPI number for Dr Stephen Tackett is 1104112556 and his current mailing address is 727 W Cumberland Gap Pkwy Ste D, Corbin, Kentucky. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104112556.

Contact Information

Dr Stephen Tackett, DMD
727 W Cumberland Gap Pkwy Ste D,
Corbin, KY 40701
(606) 523-2000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Stephen Tackett
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location727 W Cumberland Gap Pkwy Ste D, Corbin, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104112556
  • Provider Enumeration Date: 06/23/2011
  • Last Update Date: 01/18/2024

Medical Identifiers

Medical identifiers for Dr Stephen Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104112556NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 9023 (Kentucky)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 9023 (Kentucky)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 Stephen 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 AddressPractice Location Address
Dr Stephen Tackett, DMD
727 W Cumberland Gap Pkwy Ste D,
Corbin, KY 40701-5194

Ph: (606) 523-2000
Dr Stephen Tackett, DMD
727 W Cumberland Gap Pkwy Ste D,
Corbin, KY 40701

Ph: (606) 523-2000

Reviews and Comments


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