Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stephen Tackett, DMD

Individual provider Dentist · NPI 1104112556

Dr. Stephen Tackett, DMD is a Dentist in Corbin, Kentucky. Works from 2 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2011
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

727 W Cumberland Gap Pkwy Ste D
Corbin, KY 40701
Phone: (606) 523-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 9023 (KY)
Dentist Taxonomy 122300000X · Licence 9023 (KY)

Record details

NPI number1104112556
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 23, 2011
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024
Mailing address727 W Cumberland Gap Pkwy Ste D, Corbin, KY 40701-5194

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