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DR. ROBERT HENRY ACKERMAN DMD
Periodontics >> Dentist >> Dental ProvidersRegistrant NPI Number: 1396950408
Individual Registrant:DR. ROBERT HENRY ACKERMAN DMD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
602 VICTORIA PL THOMASVILLE, GA 31792-6686 US
Tel: 229-228-1414 Fax: 229-228-1415
Tel: 229-228-1414 Fax: 229-228-1415
Contact information for business:
PO BOX 1575 THOMASVILLE, GA 31799-1575 US
Tel: 229-228-1414 Fax: 229-228-1415
Tel: 229-228-1414 Fax: 229-228-1415
Registration Information:
NPI: 1396950408
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223P0300X | Dental Providers Dentist Periodontics | GA | 8109 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
