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Dr. John C Tackett, DMD
Oral and Maxillofacial Surgery (Dentist) in Salem, Indiana
NPI 1578666426

John C Tackett is a Oral and Maxillofacial Surgery (Dentist) based in Salem, IN and is specialized in Oral and Maxillofacial Surgery. John C Tackett practices in Salem, IN and has the professional credentials of DMD. The NPI Number for John C Tackett is 1578666426 and holds a License No. 12009512A (Indiana).

The current practice location address for John C Tackett is 102 N Harrison St, Salem, IN and can be reached out via phone at 812-883-4281 and via fax at 812-883-4289.

Location: 102 N Harrison St, Salem, IN, 47167-1426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578666426
Provider Name
John C Tackett
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
102 N Harrison St, Salem, IN, 47167-1426
Phone Number
812-883-4281
Fax Number
812-883-4289
Provider Enumeration Date
09/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
102 N Harrison St
City
Salem
State
Indiana
Zip
47167-1426
Phone Number
812-883-4281
Fax Number
812-883-4289
person
Provider Business Mailing Address Details
Address
102 N Harrison St
City
Salem
State
Indiana
Zip
47167-1426
Phone Number
812-883-4281
Fax Number
812-883-4289
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
12009512A (Indiana)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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