Organization
JEFFERY S. ACKERMAN D.D.S. LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY SHELDON ACKERMAN D.D.S.M.A.G.D (OWNER)
(703) 968-7022
Entity
Organization
Contact information
Practice address
5701 CENTRE SQUARE DR, CENTREVILLE, VA 20120-1916
(703) 968-7022
Mailing address
5502 FIRESIDE CT, FAIRFAX, VA 22032-3712
(703) 323-4626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4044
VA
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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