E.smoak Ackerman Pllc | |
66 Wheaton Dr Youngsville NC 27596-8691 | |
(919) 488-0233 | |
(919) 488-0234 |
Full Name | E.smoak Ackerman Pllc |
---|---|
Speciality | Dentist |
Location | 66 Wheaton Dr, Youngsville, North Carolina |
Authorized Official Name and Position | Emmett Smoak Ackerman (PRESIDENT/DENTIST) |
Authorized Official Contact | 9194880233 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
E.smoak Ackerman Pllc 66 Wheaton Dr Youngsville NC 27596-8691 Ph: (919) 488-0233 | E.smoak Ackerman Pllc 66 Wheaton Dr Youngsville NC 27596-8691 Ph: (919) 488-0233 |
NPI Number | 1154503282 |
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Provider Enumeration Date | 11/30/2007 |
Last Update Date | 11/30/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154503282 | NPI | - | NPPES |
1316022700 | Other | NC | INDIVIUAL NPI # |
8990052 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5469 (North Carolina) | Primary |
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