Tanner Chase Ackley, DMD

General Practice Dentistry · Fort Stewart, GA

Individual Active NPI

NPI number 1063205979

Practice location

501 Gulick Ave
Fort Stewart, GA 31314
Phone
(912) 435-5827

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NPI record

NPI
1063205979
Entity type
Individual (Type 1)
Enumeration date
May 23, 2025
Last updated
August 28, 2025
Certified
August 20, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN123845 GA
Student in an Organized Health Care Education/Training Program 390200000X — ME

Other practice locations (1)

  • 112 Vilseck Rd, Bldg 419, Apo, AA 31315 · (912) 255-5327

About Dr. Ackley

Tanner Chase Ackley, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 501 Gulick Ave, Fort Stewart, GA 31314. The NPI number 1063205979 was assigned on May 23, 2025 and the record was last updated on August 28, 2025.

Dr. Ackley lists a license in the registry: #DN123845 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tanner Chase Ackley, DMD?

The NPI number is 1063205979.

What is the phone number of Dr. Ackley?

The phone number listed for the practice location is (912) 435-5827.

Where is Dr. Ackley located?

501 Gulick Ave, Fort Stewart, GA 31314.

What is the taxonomy code for Dr. Ackley?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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