Healthcare Provider Details

I. General information

NPI: 1619888229
Provider Name (Legal Business Name): ACKLEY, ACKLEY, & WISE, DMD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 PINEHURST DR
SPRING HILL FL
34606-4555
US

IV. Provider business mailing address

1530 PINEHURST DR
SPRING HILL FL
34606-4555
US

V. Phone/Fax

Practice location:
  • Phone: 352-683-7668
  • Fax: 352-666-1148
Mailing address:
  • Phone: 352-683-7668
  • Fax: 352-666-1148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. RODNEY ACKLEY
Title or Position: PRESIDENT
Credential: DMD
Phone: 352-683-7668