Individual
DR. RICHARD J ACKERMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
705 FIRST AVENUE, SUITE B, DODGE CITY, KS 67801
(620) 227-2234
(620) 227-8084
Mailing address
705 FIRST AVENUE, SUITE B, DODGE CITY, KS 67801
(620) 227-2234
(620) 227-8084
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4382
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59637
BLUE CROSS BLUE SHIELD
KS
01
—
743832
UNITED CONCORDIA
—
Enumeration date
11/08/2006
Last updated
07/08/2007
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