NPI 1417440637 · live from the CMS NPI Registry
Andrea Ackley, DMD
Dentist, General Practice in Sarasota, FL. National Provider Identifier 1417440637, active.
NPI record
| NPI | 1417440637 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 8446 Lockwood Ridge Rd, Sarasota, FL 34243 |
| Practice phone | 607-591-5866 |
| Enumerated | June 12, 2018 |
| Last updated | June 25, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | DN23486 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.