JOHN C TACKETT

SALEM, IN
NPI1578666426
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IN  12009512A)
Enumeration Date2006-09-06
Last Update Date2007-07-08
Business Address
Dr. JOHN C TACKETT DMD
102 N HARRISON ST
SALEM, IN 47167-1426
Phone number: 812-883-4281
Mailing Address
Dr. JOHN C TACKETT DMD
102 N HARRISON ST
SALEM, IN 47167-1426
Phone number: 812-883-4281