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

Jack T Ackerman, DDS

Individual provider General Practice Dentistry · NPI 1922084276

Jack T Ackerman, DDS is a General Practice Dentistry in Bloomington, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2005
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

19059 Valley Blvd Ste 103
Bloomington, CA 92316-2219
Phone: (909) 877-3660
Fax: (909) 877-3682
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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 35370 (CA)

Record details

NPI number1922084276
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 19, 2005
Last updated in NPPESAugust 6, 2007

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