Individual
DR. STACY ANN ACKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.M.SC.
Contact information
Practice address
325 LAKE DILLON DRIVE, SUITE 203, DILLON, CO 80435-2949
(970) 262-7664
(970) 262-7604
Mailing address
PO BOX 2949, DILLON, CO 80435-2949
(970) 262-7664
(970) 262-7604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
21556
MA
122300000X
Dentist
Primary
8624
CO
Other
Enumeration date
11/28/2006
Last updated
07/23/2007
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