Carl Edmond Tackett is a Pikeville, Kentucky based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Carl Edmond Tackett is
4245 for General Practice Dentistry in Kentucky. His current practice location is
419 Town Mtn Rd, Suite 105, Pikeville. Patients can reach him at
606-432-0346.
Carl Edmond Tackett is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Carl Edmond Tackett speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Carl Edmond Tackett |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 419 Town Mtn Rd, Suite 105, Pikeville,
Kentucky, 41501 |
| Phone: | 606-432-0346 |
| Fax: | 606-432-0147 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1659475721 |
| NPI Enumeration Date: | 11 Sep, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carl Edmond Tackett are as mentioned below.
| License Number | Specialization | State | Status | |
| 4245 | General Practice Dentistry | Kentucky | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Carl Edmond Tackett such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 60042454 | Medicaid | Kentucky | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 419 Town Mtn Rd, Suite 105
Pikeville, Kentucky |
| Zip: | 41501 |
| Phone Number: | 606-432-0346 |
| Fax Number: | 606-432-0147 |
Patients can reach Carl Edmond Tackett at
419 Town Mtn Rd, Suite 105, Pikeville, Kentucky or can
call to book an appointment on 606-432-0346.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.