Individual provider · NPI-1

Jacquelyn Ani Akmakjian, DMD

Dentist, General Practice · O Fallon, MO

NPI number1952070609
StatusActive
Last updated in NPPESSep 7, 2021

Details

NPI
1952070609
Entity type
Individual (NPI-1)
Name
Jacquelyn Ani Akmakjian
Credential
DMD
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 7, 2021
Certification date
Sep 7, 2021
Last updated
Sep 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice2021028972MOYes

Practice location

3009 Highway K
O Fallon, MO 63368-8696

Phone 636-379-7552

Mailing address

1709 Linden Lake Rd
Fort Collins, CO 80524-2278

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