# KENNETH C. ACKLEY, D.D.S.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528736113
- **Authorized official:** MRS. KATHLEEN M. MOORE (FINANCIAL COORDINATOR)
- **Authorized official phone:** (810) 334-0683

## Contact information

- **Practice address:** 6452 MILLENNIUM STE 110, LANSING, MI 48917-7881
- **Practice address phone:** (517) 323-0922
- **Practice address fax:** (517) 323-9006
- **Mailing address:** 6452 MILLENNIUM STE 110, LANSING, MI 48917-7881
- **Mailing address phone:** (517) 323-0922
- **Mailing address fax:** (517) 323-9006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2021
- **Last updated:** 08/31/2021