Whalio Doctors

NPI 1003973850

Robert Ackerman, DDS

Practitioner General Practice Dentistry Boise, ID

Practice location

Address
10200 W Emerald St Suite 105, Boise, ID 83704-8900
Phone
(208) 376-7954
Mailing address
1003 E Clearvue CT, Eagle, ID 83616-6460

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 3088 (ID)

Registry record

NPI
1003973850
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Jan 2007
Record last updated
5 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.