Lenore SM Ingram DDS PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5076 Issued in WA

Legal business name

LENORE SM INGRAM DDS PS

Practice address

1415 Harrison Ave NW
Suite 102
Olympia, WA 98502-5332

Phone

(360) 754-9300

NPI assigned

Aug 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Lenore SM Ingram, DDS

Title

President

Phone

(360) 754-9300

Specialties & licenses 1

Addresses

Other names 1

• Capital Family Dentistry Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1902090210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HARRISON AVE NW",
            "address_2": "SUITE 102",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025332",
            "telephone_number": "360-754-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 HARRISON AVE NW",
            "address_2": "SUITE 102",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025332",
            "telephone_number": "360-754-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENORE SM INGRAM DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "LENORE",
        "authorized_official_middle_name": "SM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-754-9300",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Leisner
• Jamie Nicole Leissner
• Jeff Jay Leitch
• Laurie Lembke, BA
• Josephine Nicole Lemier
• James Leonard, PHARM.D.
• Lucas Randall Leonard, M.D.
• Russell Ming Wei Leong, DO
• Brandon Roland Lerch, DC
• Sara J Lerner, M.D.

• General Practice Dentistry in Olympia, WA
• Providers in Olympia, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.