ANDREKGBORTHO INGERSOLL DENTAL CORPORATION
NPI 1356216907
Dentist - Orthodontics and Dentofacial Orthopedics in Granite Bay, CA
About Andrekgbortho Ingersoll Dental Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREKGBORTHO INGERSOLL DENTAL CORPORATION (NPI 1356216907) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Granite Bay, California and active in the NPI registry since October 2025. The organization lists Leeann Blazer, Director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRANITE BAY, CA 95746
GRANITE BAY, CA 95746
GRANITE BAY, CA 95746
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 Andrekgbortho Ingersoll Dental Corporation's NPI number?
The NPI number for Andrekgbortho Ingersoll Dental Corporation is 1356216907. It was assigned to this organization in the NPPES registry on October 6, 2025.
Where is Andrekgbortho Ingersoll Dental Corporation located?
Andrekgbortho Ingersoll Dental Corporation is located at 4150 Douglas Blvd Ste B, Granite Bay, CA 95746. The listed phone number is (916) 774-6986.
What is Andrekgbortho Ingersoll Dental Corporation's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.
When was this NPI record last updated?
The NPPES record for Andrekgbortho Ingersoll Dental Corporation was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.