MICHELLE TACKETT


Address: 119 River Dr, Pikeville, KY 41501-1685
Phone: 6064375500

MICHELLE TACKETT (NPI# 1629474879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629474879
Entity Type Individual
Full Name MICHELLE TACKETT
Credential R.D.H.
Practice Address 119 River Dr
Pikeville
KY 41501-1685
Practice Telephone 6064375500
Practice Fax Number 6064370873
Mailing Telephone 6064375500
Mailing Fax Number 6064370873
Enumeration Date 2014-11-17
Last Update Date 2014-11-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 3701 KY Dental Providers

Office Location

Street Address 119 RIVER DR
City PIKEVILLE
State KY
Zip Code 41501-1685

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205817301 Debra Lynn Gibson Nurse Practitioner 119 River Dr, Pikeville, KY 41501-1685 2005-11-07
1649751546 Andrea Jade Adams Nurse Practitioner 119 River Dr, Pikeville, KY 41501-1685 2018-08-28
1144623562 Angela Smart Registered Nurse 119 River Dr, Pikeville, KY 41501-1685 2014-09-30
1548663982 Machea Thomas Registered Nurse 119 River Dr, Pikeville, KY 41501-1685 2014-09-30
1164825584 Christy Ratliff Registered Nurse 119 River Dr, Pikeville, KY 41501-1685 2014-09-30
1346643780 Shelia Wright Registered Nurse 119 River Dr, Pikeville, KY 41501-1685 2014-09-30
1912300351 Laura Tackett Registered Nurse 119 River Dr, Pikeville, KY 41501-1685 2014-09-30
1538562970 Ashley Tilley Registered Nurse 119 River Dr, Pikeville, KY 41501-1685 2014-09-30
1619370152 Leah Johnson Registered Nurse 119 River Dr, Pikeville, KY 41501-1685 2014-09-29
1801299367 Ruth Mccoy Registered Nurse 119 River Dr, Pikeville, KY 41501-1685 2014-09-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134720634 Lauren Ann Thacker Nurse Practitioner 648 Stonehenge Drive, Pikeville, KY 41501 2020-11-03
1659933406 Wesley Tyler Rowe Pharmacist 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 2019-07-02
1275096489 Eric Taejun Kim Student in an Organized Health Care Education/Training Program 184 South Mayo Trail, Pikeville, KY 41501 2019-04-13
1245755206 Paula Renee Belcher Nurse Practitioner 5724 E Shelbiana Road, Pikeville, KY 41501 2017-08-10
1174044390 Jessie C Deffendall Dentist 220 Cassidy Blvd, Pikeville, KY 41501 2017-06-28
1942667456 Crossroads Addiction Recovery Effort, LLC Family Medicine 484 Tollage Crk, Pikeville, KY 41501 2016-01-28
1265836183 Rebecca Leann Roberts Pharmacist 259 Bear Rd, Pikeville, KY 41501 2014-10-21
1306253190 Ginger Webb Aprn Clinic/Center 153 Weddington Branch Rd., Pikeville, KY 41501 2014-07-14
1710323894 Bhg Xxv, LLC Case Management 368 South Mayo Trail, Pikeville, KY 41501 2013-05-16
1740624220 Sunrise Children's Services, Inc. Foster Care Agency 123 Weddington Branch Road, Pikeville, KY 41501 2013-04-26
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215554274 Cheryl Lynn Kennedy Dental Hygienist 146 Whitman Way, Georgetown, KY 40324-8690 2020-06-25
1538675483 Aimee Medders Dental Hygienist 968 1st Infantry Division Rd Bldg 2724, Fort Knox, KY 40121-5210 2017-12-14
1104277177 Danielle Lynn Gerage Dental Hygienist 465 Monks Rd, New Haven, KY 40051-6195 2016-06-30
1609259258 Laura Aline Gossom Dental Hygienist 5405 Bloomfield Rd, Bardstown, KY 40004-9195 2015-07-01
1598161127 Carol Brenner Dental Hygienist 3312 Ellis Way, Louisville, KY 40220-1944 2014-11-10
1811290513 Michelle Marie Hanke Dental Hygienist 4393 Jasmine Rose Way, Lexington, KY 40515-6351 2010-12-19
1841450749 Melinda Marie Phillips Dental Hygienist 8250 Coppercreek Dr, Louisville, KY 40222-6820 2008-06-13
1366655193 Belinda Denise Demond Dental Hygienist 1511 Kirkwood Dr, Murray, KY 42071-3222 2007-05-08
1548336985 W Bruce Combest Psc Dental Hygienist 402 Richmond Rd, Suite C, Berea, KY 40403 2006-11-28
1710597331 Amber Archey Dental Hygienist 2441 21st St, Fort Campbell, KY 42223-5582 2020-08-07
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Competitor

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City PIKEVILLE
Zip Code 41501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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