Organization
KENNETH C. ACKLEY, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN M. MOORE (FINANCIAL COORDINATOR)
(810) 334-0683
Entity
Organization
Contact information
Practice address
6452 MILLENNIUM STE 110, LANSING, MI 48917-7881
(517) 323-0922
(517) 323-9006
Mailing address
6452 MILLENNIUM STE 110, LANSING, MI 48917-7881
(517) 323-0922
(517) 323-9006
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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