Individual
DR. DENVER DAVID TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
138 PARKVIEW DR BLDG 1, MINNIE, KY 41651-8303
(606) 949-1674
Mailing address
PO BOX 596, MC DOWELL, KY 41647-0596
(606) 949-1674
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5889
KY
Other
Enumeration date
10/13/2006
Last updated
10/24/2025
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