Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK T ACKERMAN, DDS
Active Sole ProprietorJACK T ACKERMAN, DDS is a General Dentistry healthcare provider located in BLOOMINGTON, California. NPI 1922084276 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · BLOOMINGTON, CA
Registration Details
- NPI Number
- 1922084276
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 19, 2005 (20.622519879878 yrs)
- Last Updated
- Aug 6, 2007
- License
-
35370 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19059 VALLEY BLVDSUITE 103BLOOMINGTON, CA, 923162219Browse CA providers · Browse ZIP 92316
- Phone
- 9098773660
- Fax
- 9098773682
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in BLOOMINGTON, CA
| Name | Credential | NPI |
|---|---|---|
| NEHA SHAH | — | 1336601756 |
| JAVAD HAYDARI | — | 1427735539 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.