Austin Ackman, DMD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI 1992400741 · NPPES record last updated Apr 3, 2023

Key facts

NPI
1992400741
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
800 Rose St FL 5
Lexington, KY 40536-7001
Phone
(217) 416-4833
NPI assigned
Apr 3, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

800 Rose St FL 5
Lexington, KY 40536-7001

Mailing address

19800 Baldwin Beach Rd
Havana, IL 62644-6464
Phone (217) 416-4833

Other providers in Lexington, KY

All providers in Lexington, KY · Student in an Organized Health Care Education/Training Program in Kentucky

Sources for this page

Verify at the official NPI Registry.