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

Jack T Ackerman, DDS

Individual provider General Practice Dentistry · NPI 1922084276

Jack T Ackerman, DDS is a General Practice Dentistry in Bloomington, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2005
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

19059 Valley Blvd Ste 103
Bloomington, CA 92316-2219
Phone: (909) 877-3660
Fax: (909) 877-3682
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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 35370 (CA)

Record details

NPI number1922084276
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 19, 2005
Last updated in NPPESAugust 6, 2007
Mailing address19059 Valley Blvd, Suite 103, Bloomington, CA 92316-2219

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