Individual
DR. RONALD IRA ACKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3460 OLD WASHINGTON RD, SUITE 301, WALDORF, MD 20602
(301) 645-8222
Mailing address
3460 OLD WASHINGTON RD STE 301A, WALDORF, MD 20602-3243
(301) 645-8222
(301) 638-9032
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
07323
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1035
BLUE CROSS BLUE SHIELD
MD
01
—
162238
UNITED CONCORDIA COMPANY
MD
Enumeration date
11/18/2005
Last updated
06/25/2018
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