Individual
DR. RALPH WILLIAM THACKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
222 MAIN ST., LIVERMORE, KY 42352-0490
(270) 278-2385
(270) 278-5111
Mailing address
222 MAIN ST., P.O BOX 490, LIVERMORE, KY 42352-0490
(270) 278-2385
(270) 278-5111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5649
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60056496
—
KY
Enumeration date
10/26/2006
Last updated
04/24/2017
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