Kenneth C Ackley in Clio - General Practice
Kenneth C Ackley - NPI 1891795639
Kenneth C Ackley is a General Practice in Clio, Michigan. Kenneth C Ackley practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth C Ackley is 1891795639. The last update date is 2007-07-08.
Kenneth C Ackley's current location address is 573 W Vienna St, Clio, Michigan. You can contact this provider via phone number 8106865220. The mailing address for Kenneth C Ackley is 573 W Vienna St, Clio, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth C Ackley |
|---|---|
| Address | 573 W Vienna St, Clio, Michigan |
| Phone Number | 8106865220 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1891795639 |
|---|---|
| Provider Enumeration Date | 2005-07-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 573 W Vienna St |
|---|---|
| City | Clio |
| State | Michigan (MI) |
| Post Code | 484205000 |
| Phone Number | 8106865220 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2901019074 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Kenneth C Ackley's unique identification number?
The Kenneth C Ackley has been assigned the NPI (National Provider Identifier) Number 1891795639 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Kenneth C Ackley?
The Kenneth C Ackley is situated at 573 W Vienna St, in the city of Clio, state of MI, with the zip code 484205000.
What is the Kenneth C Ackley's area of specialization and corresponding taxonomy classification?
The Kenneth C Ackley's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891795639 to Kenneth C Ackley?
The Centers for Medicare & Medicaid Services originally issued the 1891795639 to Kenneth C Ackley on 2005-07-22.
When was the information related to Kenneth C Ackley most recently updated or refreshed?
The details pertaining to the Kenneth C Ackley, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.