Provider Demographics
NPI:1780097782
Name:ACKERMAN, BRITTANY (DDS)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:
Last Name:ACKERMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:28329-0003
Mailing Address - Country:US
Mailing Address - Phone:910-592-1766
Mailing Address - Fax:
Practice Address - Street 1:705 BEAMAN ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-2605
Practice Address - Country:US
Practice Address - Phone:910-592-1766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-06
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9724122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist