Andrek Ingersoll Dental Corporation
Organization Active NPI Dental Clinic/Center · McArthur, CA
NPI 1265101679 · NPPES record last updated Sep 6, 2023
Key facts
- NPI
- 1265101679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- ANDREK INGERSOLL DENTAL CORPORATION
- Practice address
- 44255 Ca-299
McArthur, CA 96056 - Phone
- (530) 336-6142
- NPI assigned
- Sep 9, 2021
- Organization subpart
- No
Authorized official
- Name
- Andrek J Ingersoll, DMD
- Title
- Owner/Manager
- Phone
- (919) 656-3004
Practitioners 1
-
Andrek J Ingersoll, DMD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
44255 Ca-299
McArthur, CA 96056
Mailing address
3300 N Triumph Blvd Ste 100
Lehi, UT 84043-5046
Phone (801) 494-4949
Other names
- Fall River Valley Dentist
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.shastads.com | Direct |
Other providers in McArthur, CA
All providers in McArthur, CA · Dental Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.