Individual
AUSTIN ACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
800 ROSE ST FL 5, LEXINGTON, KY 40536-7001
(217) 416-4833
Mailing address
19800 BALDWIN BEACH RD, HAVANA, IL 62644-6464
(217) 416-4833
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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