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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.