Provider Demographics
NPI:1609902733
Name:AKERMAN, MARINA J (DDS PA)
Entity Type:Individual
Prefix:
First Name:MARINA
Middle Name:J
Last Name:AKERMAN
Suffix:
Gender:F
Credentials:DDS PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16312 STUEBNER AIRLINE RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7332
Mailing Address - Country:US
Mailing Address - Phone:281-546-6662
Mailing Address - Fax:832-698-1809
Practice Address - Street 1:16312 STUEBNER AIRLINE RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7332
Practice Address - Country:US
Practice Address - Phone:281-379-3636
Practice Address - Fax:281-379-3851
Is Sole Proprietor?:No
Enumeration Date:2007-02-25
Last Update Date:2023-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13431122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX48-1275161OtherEIN