Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922084276 Individual Practitioner Male Practitioner

Dr. Jack T Ackerman , DDS

Dentist - General Practice • Bloomington, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jack Ackerman, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bloomington, CA. Practice services are available at 19059 VALLEY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19059 Valley Blvd
Suite 103

Bloomington, CA 923162219

Telephone 9098773660
Fax 9098773682

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bloomington, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Bloomington, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 35370

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 06, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 06, 2007

Registered at 19059 VALLEY BLVD, SUITE 103, BLOOMINGTON, CA 923162219 (Tel: 9098773660)

📍
Updated Business Mailing Address August 06, 2007

Registered at 19059 VALLEY BLVD, SUITE 103, BLOOMINGTON, CA 923162219 (Tel: 9098773660)

👤
Provider Name / Credentials Updated August 06, 2007

Recorded as JACK ACKERMAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2007

Dentist (License #35370 in CA)

🟢
Initial NPI Registration & Enumeration December 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922084276
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2005
Last Update: August 06, 2007
Sole Proprietor: Yes

Mailing Address

19059 Valley Blvd, Suite 103

Bloomington, CA 923162219

Phone: 9098773660

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.