MEDICARE: DR. ASHLEY NICOLE AKINS DDS

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	1223G0001X	General Practice Dentistry	019-031-602-2200	GA

General Provider Information

NPI Number	:	1598251845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY NICOLE AKINS DDS

Provider Business Mailing Address
First Line	:	3445 N CENTRAL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-4420
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3752 CASCADE RD SW STE 190
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-2149
Country	:	US
Telephone Number	:	678-263-3540
Fax Number	:

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

Provider Enumeration Date	:	07/10/2018
Last Update Date	:	03/11/2026

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