Tackitt, Alisha Dawn

Tackitt, Alisha Dawn is an sole proprietor health care provider with primary practice located at 1107 Indian Mound Dr C Colony Shoppes, Mt Sterling KY 40353-1300. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Other Service Providers / Specialist. Dental Providers / General Practice is her primary health care specialty. Tackitt, Alisha Dawn can be contacted via phone (859) 498-2356.

Contact Information

Primary practice address
1107 Indian Mound Dr C Colony Shoppes Mt Sterling KY 40353-1300
Phone: (859) 498-2356
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8767 Kentucky
Other Service Providers / Specialist 174400000X 8767 Kentucky

Profile Details

NPI number 1669608139
LBN Legal business name Tackitt, Alisha Dawn
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2009
Last updated Mar 9th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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