Provider Demographics
NPI:1366578239
Name:MARINA J AKERMAN DDS PA
Entity type:Organization
Organization Name:MARINA J AKERMAN DDS PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:J
Authorized Official - Last Name:AKERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-379-3636
Mailing Address - Street 1:25730 BRIDLE FLS
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77355-5889
Mailing Address - Country:US
Mailing Address - Phone:281-546-6662
Mailing Address - Fax:281-766-1992
Practice Address - Street 1:16312 STUEBNER AIRLINE RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7332
Practice Address - Country:US
Practice Address - Phone:281-379-3636
Practice Address - Fax:281-379-3851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BC3200X
TX134311223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty