Individual
ALBERT HENRY HACKMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5080 BRADENTON AVENUE, SUITE A, DUBLIN, OH 43017
(614) 799-5576
(614) 766-2874
Mailing address
5080 BRADENTON AVENUE, SUITE A, DUBLIN, OH 43017
(614) 799-5576
(614) 766-2874
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30-013886
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0316401
—
OH
Enumeration date
10/04/2006
Last updated
07/08/2007
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