Alan G Ingersoll DDS Inc
Organization Active NPI Endodontics · Orem, UT
NPI 1891700290 · NPPES record last updated Oct 27, 2008
Key facts
- NPI
- 1891700290
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endodontics 1223E0200X
- License
- 138355-9922 (UT)
- Legal business name
- ALAN G INGERSOLL DDS INC
- Practice address
- 75 West 400 North
Orem, UT 84057 - Phone
- (801) 225-1179
- Fax
- (801) 225-0085
- NPI assigned
- Jul 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Alan Grant Ingersoll, D.D.S.
- Title
- President
- Phone
- (801) 225-1179
Practitioners 1
-
Alan G. Ingersoll, DDS
National Provider Directory
Locations
75 W 400 N
Orem, UT 84057
Phone (801) 225-1179
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics |
1223E0200X | 138355-9922 | UT | Yes |
Addresses
Primary practice location
75 West 400 North
Orem, UT 84057
Mailing address
PO Box 573
Orem, UT 84057
Phone (801) 225-1179
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2008. 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.