Provider Demographics
NPI:1821393943
Name:ACKER, KARA AURBACH (DMD)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:AURBACH
Last Name:ACKER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 E 85TH ST APT 8C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-3223
Mailing Address - Country:US
Mailing Address - Phone:732-580-3362
Mailing Address - Fax:
Practice Address - Street 1:65 E 79TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0216
Practice Address - Country:US
Practice Address - Phone:732-580-3362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-20
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN2855589122300000X
NY0560221223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist