Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Ross Acheatel

Individual provider General Practice Dentistry · NPI 1194027698

Jack Ross Acheatel is a General Practice Dentistry in Northridge, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
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Practice location Address checks out

18856 Roscoe Blvd
Northridge, CA 91324
Phone: (818) 885-7116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 20143 (CA)

Record details

NPI number1194027698
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 3, 2010
Last updated in NPPESDecember 3, 2010
Mailing address18856 Roscoe Blvd, Northridge, CA 91324

Other providers in Northridge