Individual
DR. ALISHA DAWN TACKITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1107 INDIAN MOUND DR, C COLONY SHOPPES, MT STERLING, KY 40353-1300
(859) 498-2356
Mailing address
1107 INDIAN MOUND DR, C COLONY SHOPPES, MT STERLING, KY 40353-1300
(859) 498-2356
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8767
KY
174400000X
Specialist
8767
KY
Other
Enumeration date
06/10/2009
Last updated
03/09/2010
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