Individual
TANNER CHASE ACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
501 GULICK AVE, FORT STEWART, GA 31314
(912) 435-5827
Mailing address
501 GULICK AVE, FORT STEWART, GA 31314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123845
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
ME
Other
Enumeration date
05/23/2025
Last updated
08/28/2025
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