Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003973850 Individual Practitioner Male Practitioner

Dr. Robert Ackerman , DDS

Dentist - General Practice • Boise, ID

Professional Overview & Biography Verified Profile Summary

Dr. Robert Ackerman, DDS is a registered healthcare professional specializing in Dentist - General Practice in Boise, ID. Practice services are available at 10200 W EMERALD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10200 W Emerald St
Suite 105

Boise, ID 837048900

Telephone 2083767954
Associated Practice Facility / Clinic
🏢 Quality Family Dentistry Facility NPI 1033379177

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
142 Specialists

Practicing in Boise, ID (781 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

CMS Verified: 2023-07-05
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID 3088

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Tax Id #
82-0499472 (ID)
Commercial Insurance / Payer ID License #
3088 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1093369241

Doctor of Dental Medicine

Dr. Casey Sanders , DMD

Dentist - General Practice

NPI 1700455870

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 04, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 04, 2008

Registered at 10200 W EMERALD ST, SUITE 105, BOISE, ID 837048900 (Tel: 2083767954)

📍
Updated Business Mailing Address June 04, 2008

Registered at 1003 E CLEARVUE CT, EAGLE, ID 836166460 (Tel: 2088843934)

👤
Provider Name / Credentials Updated June 04, 2008

Recorded as ROBERT ACKERMAN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2008

Dentist (License #3088 in ID)

🟢
Initial NPI Registration & Enumeration January 02, 2007

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: 1003973850
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2007
Last Update: July 05, 2023
Sole Proprietor: Yes

Mailing Address

1003 E Clearvue Ct

Eagle, ID 836166460

Phone: 2088843934

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.