Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jack Ross Acheatel

Individual provider General Practice Dentistry · NPI 1194027698

Jack Ross Acheatel is a General Practice Dentistry in Northridge, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
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Practice location Address checks out

18856 Roscoe Blvd
Northridge, CA 91324
Phone: (818) 885-7116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 20143 (CA)

Record details

NPI number1194027698
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 3, 2010
Last updated in NPPESDecember 3, 2010

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