MEDICARE: WILLIAM Y AKERMAN D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	4251	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4251	OTHER	SC	DENTAL LICENSE

General Provider Information

NPI Number	:	1619901261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM Y AKERMAN D.M.D.

Provider Business Mailing Address
First Line	:	4584 OLDE SMOAK HOUSE RD
Second Line	:
City	:	YONGES ISLAND
State	:	SC
Zip	:	29449-6025
Country	:	US
Telephone Number	:	843-437-8884
Fax Number	:	843-889-3091

Provider Business Practice Location Address
First Line	:	1064 GARDNER RD
Second Line	:	SUITE 101
City	:	CHARLESTON
State	:	SC
Zip	:	29407-5768
Country	:	US
Telephone Number	:	843-437-8884
Fax Number	:	843-889-3091

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	07/08/2007

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