Peter Lee Ackerman, DMD
Individual provider Active NPI General Practice Dentistry · Ocean Springs, MS
NPI 1891833752 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891833752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1740-76 (MS)
- Practice address
- 1145 Ocean Springs Rd
Ocean Springs, MS 39564-3421 - Phone
- (228) 875-7462
- Fax
- (228) 875-8546
- NPI assigned
- Feb 2, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1740-76 | MS | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1740-76 | MS | Yes |
Addresses
Primary practice location
1145 Ocean Springs Rd
Ocean Springs, MS 39564-3421
Mailing address
1145 Ocean Springs Rd
Ocean Springs, MS 39564-3421
Phone (228) 875-7462
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All providers in Ocean Springs, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.