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INGERSOLL KNOLLCREST OS DENTAL CORPORATION
NPI 1215537444
Dentist - Oral and Maxillofacial Surgery in Redding, CA

Active since October 27, 2020
316 KNOLLCREST DR, REDDING, CA 96002(919) 656-3004 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ingersoll Knollcrest Os Dental Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INGERSOLL KNOLLCREST OS DENTAL CORPORATION (NPI 1215537444), doing business as Riverside Oral Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in Redding, California and active in the NPI registry since October 2020. The organization lists Andrek Jeffrey Ingersoll, Manager, as its authorized official.

NPPES Registry Identity

NPI1215537444
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameINGERSOLL KNOLLCREST OS DENTAL CORPORATION
Location Address316 KNOLLCREST DRRedding, CA 96002-0104
Mailing Address3300 N Triumph Blvd Ste 100Lehi, UT 84043-5046 · (801) 494-4949
Phone(919) 656-3004
Organization SubpartNo
Authorized OfficialAndrek Jeffrey IngersollManager · (919) 656-3004
Enumeration DateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1215537444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
316 KNOLLCREST DR, Redding, CA 96002
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Other Names 1

Doing Business AsRiverside Oral Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL W PETERSEN DDS
Dentist (Oral and Maxillofacial Surgery)
316 KNOLLCREST DR
REDDING, CA 96002
Shasta County (530) 223-1811
FRANCISCO SUAREZ, DDS INC.
Dentist (Oral and Maxillofacial Surgery)
316 KNOLLCREST DR
REDDING, CA 96002
Shasta County (530) 223-1811
DANIEL PETERSEN DDS, INC.
Oral & Maxillofacial Surgery
316 KNOLLCREST DR
REDDING, CA 96002
Shasta County (530) 223-1811
DR. FRANCISCO E SUAREZ DDS
Dentist (Oral and Maxillofacial Surgery)
316 KNOLLCREST DR
REDDING, CA 96002
Shasta County (530) 223-1811
SHAUN BURLINGAME DDS, MD
Dentist (Oral and Maxillofacial Surgery)
316 KNOLLCREST DR
REDDING, CA 96002
Shasta County (530) 223-1811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ingersoll Knollcrest Os Dental Corporation's NPI number?

The NPI number for Ingersoll Knollcrest Os Dental Corporation is 1215537444. It was assigned to this organization in the NPPES registry on October 27, 2020. The provider is doing business as Riverside Oral Surgery.

Where is Ingersoll Knollcrest Os Dental Corporation located?

Ingersoll Knollcrest Os Dental Corporation is located at 316 Knollcrest Dr, Redding, CA 96002. The listed phone number is (919) 656-3004.

What is Ingersoll Knollcrest Os Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Ingersoll Knollcrest Os Dental Corporation was last updated on October 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.