Individual provider · NPI-1

Dr. Regan Wiesemann Ackerman, D.M.D.

Dentist, General Practice · Louisville, KY

NPI number1871798173
StatusActive
Last updated in NPPESJan 29, 2012

Details

NPI
1871798173
Entity type
Individual (NPI-1)
Name
Dr. Regan Wiesemann Ackerman
Credential
D.M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 18, 2007
Last updated
Jan 29, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice8470KYYes

Practice location

7600 Outer Loop
Louisville, KY 40228-1729

Phone 502-231-9970

Mailing address

7600 Outer Loop
Louisville, KY 40228-1729

Phone 502-231-9970

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