Provider Demographics
NPI:1376552448
Name:ARTHUR I ACKER DMD PA
Entity Type:Organization
Organization Name:ARTHUR I ACKER DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:IRWIN
Authorized Official - Last Name:ACKER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:941-484-3885
Mailing Address - Street 1:200 CAPRI ISLES BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-2335
Mailing Address - Country:US
Mailing Address - Phone:941-484-3885
Mailing Address - Fax:941-484-1506
Practice Address - Street 1:200 CAPRI ISLES BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-2335
Practice Address - Country:US
Practice Address - Phone:941-484-3885
Practice Address - Fax:941-484-1506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental