Gabriel Buchanan Ingraham III, DMD – Prosthodontics

Key facts

NPI: 1265553846
Entity type: Individual (NPI type 1)
Primary specialty: Prosthodontics 1223P0700X
License: 242 (SC)
Practice address: 108 South Cleveland St
Kershaw, SC 29067-1403
Phone: (803) 475-9440
Fax: (803) 475-3927
NPI assigned: Apr 2, 2007
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Carolina Dental Partners, Inc General Practice Dentistry · Kershaw, SC · NPI 1811661598

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
1940	SC	MD	Dentist
242	SC	MD	Registered Dietitian

Practice roles

Organization	Specialty	Status	New patients
Carolina Dental Partners, Inc		Past since Aug 8, 2021	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist	122300000X	1940	SC
Prosthodontics	1223P0700X	242	SC	Yes

Addresses

Primary practice location

108 South Cleveland St
Kershaw, SC 29067-1403

Mailing address

108 South Cleveland St
Kershaw, SC 29067-1403
Phone (803) 475-9440

Other providers in Kershaw, SC

All providers in Kershaw, SC · Prosthodontics in South Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. 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.

Verify at the official NPI Registry.