Mr Emmett Smoak Ackermon Jr, DDS is a
Dentist based in Youngsville, North Carolina. Mr Emmett Smoak Ackermon Jr is licensed to practice in North Carolina (license number 5469) and his current practice location is
66 Wheaton Ave, Youngsville, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(919) 488-0233.
NPI number for Mr Emmett Smoak Ackermon Jr is 1316022700 and his current mailing address is Po Box 339, Franklinton, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316022700.
Healthcare Provider's Profile
| Full Name | Mr Emmett Smoak Ackermon Jr |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
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| Location | 66 Wheaton Ave, Youngsville, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316022700
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mr Emmett Smoak Ackermon Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316022700 | NPI | - | NPPES |
| 8990052 | Medicaid | NC | |
| 5469 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 5469 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Emmett Smoak Ackermon Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Emmett Smoak Ackermon Jr, DDS
Po Box 339,
Franklinton, NC 27525
Ph: (919) 488-0233 | Mr Emmett Smoak Ackermon Jr, DDS
66 Wheaton Ave,
Youngsville, NC 27596
Ph: (919) 488-0233 |
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