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Contact Information

IBRAHEEM G ACKALL, DDS
2150 HIGHWAY 54 S
ALAMOGORDO, NM88310-7330
 Phone: 575-443-8133
 Fax: 575-443-8055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for IBRAHEEM G ACKALL · (Male)

NPI Number 1598867368
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/02/2006
Last updated 11/12/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NM License # DD2887
  • NM Medicaid 60602775
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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