DENTAL OFFICE OF ANDREK J INGERSOLL
NPI 1417767161
Clinic/Center - Dental in South Lake Tahoe, CA

Q: What is Dental Office Of Andrek J Ingersoll's NPI number?

The NPI number for Dental Office Of Andrek J Ingersoll is 1417767161. It was assigned to this organization in the NPPES registry on January 13, 2025.

Q: What is Dental Office Of Andrek J Ingersoll's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since January 13, 2025

585 TAHOE KEYS BLVD STE 2, SOUTH LAKE TAHOE, CA 96150(530) 541-3772 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dental Office Of Andrek J Ingersoll NPPES

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

DENTAL OFFICE OF ANDREK J INGERSOLL (NPI 1417767161) is a healthcare organization registered as a dental in South Lake Tahoe, California and active in the NPI registry since January 2025. The organization lists Leeann Blazer, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1417767161

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameDENTAL OFFICE OF ANDREK J INGERSOLL

Location Address585 TAHOE KEYS BLVD STE 2South Lake Tahoe, CA 96150-3371

Mailing Address585 Tahoe Keys Blvd Ste 2South Lake Tahoe, CA 96150-3371 · (530) 541-3772

Phone(530) 541-3772

Organization SubpartNo

Authorized OfficialLeeann BlazerDirector Of Operations · (707) 673-7531

Enumeration DateJanuary 13, 2025

NPPES CertifiedJanuary 13, 2025

✔ NPI 1417767161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

585 TAHOE KEYS BLVD STE 2, South Lake Tahoe, CA 96150

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Other Providers at the Same Location NPPES

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

DR. ALLYSSA RAE OSTROWSKI DMD

Dentist

585 TAHOE KEYS BLVD STE 2
SOUTH LAKE TAHOE, CA 96150

El Dorado County (732) 963-7960

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 Dental Office Of Andrek J Ingersoll's NPI number?

The NPI number for Dental Office Of Andrek J Ingersoll is 1417767161. It was assigned to this organization in the NPPES registry on January 13, 2025.

Where is Dental Office Of Andrek J Ingersoll located?

Dental Office Of Andrek J Ingersoll is located at 585 Tahoe Keys Blvd Ste 2, South Lake Tahoe, CA 96150. The listed phone number is (530) 541-3772.

What is Dental Office Of Andrek J Ingersoll's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Dental Office Of Andrek J Ingersoll was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.