DR. STEPHEN TACKETT D.M.D.
NPI 1104112556
Dentist - Orthodontics and Dentofacial Orthopedics in Corbin, KY

Active since June 23, 2011
727 W CUMBERLAND GAP PKWY STE D, CORBIN, KY 40701(606) 523-2000 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stephen Tackett D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHEN TACKETT D.M.D. (NPI 1104112556) is an individual orthodontics and dentofacial orthopedics provider in Corbin, Kentucky, licensed in Kentucky (9023) and active in the NPI registry since June 2011. He maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1104112556
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. STEPHEN TACKETTCredential: D.M.D.
Location Address727 W CUMBERLAND GAP PKWY STE DCorbin, KY 40701
Mailing Address727 W Cumberland Gap Pkwy Ste DCorbin, KY 40701-5194 · (606) 523-2000 · Fax (606) 523-2823
Sole ProprietorNo
Enumeration DateJune 23, 2011
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
NPI 1104112556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in KY · 9023
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License 9023 (KY)
727 W CUMBERLAND GAP PKWY STE D, Corbin, KY 40701

Secondary Practice Location 1

Location 1University Of Kentucky & Affiliates 800 Rose StLexington, KY 40536-0001 · Phone (859) 257-3462 · Fax (859) 323-2036

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
727 W CUMBERLAND GAP PKWY STE D
CORBIN, KY 40701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Tackett's NPI number?

The NPI number for Stephen Tackett is 1104112556. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Where is Stephen Tackett located?

Stephen Tackett practices at 727 W Cumberland Gap Pkwy Ste D, Corbin, KY 40701. The listed phone number is (606) 523-2000.

What is Stephen Tackett's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Stephen Tackett was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.