Healthcare Provider Details

I. General information

NPI: 1366578239
Provider Name (Legal Business Name): MARINA J AKERMAN DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/17/2023
Certification Date: 07/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16312 STUEBNER AIRLINE RD
SPRING TX
77379-7332
US

IV. Provider business mailing address

25730 BRIDLE FLS
MAGNOLIA TX
77355-5889
US

V. Phone/Fax

Practice location:
  • Phone: 281-379-3636
  • Fax: 281-379-3851
Mailing address:
  • Phone: 281-546-6662
  • Fax: 281-766-1992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number13431
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. MARINA J AKERMAN
Title or Position: OWNER
Credential: DDS
Phone: 281-379-3636