DR ANDREK SKRED INGERSOLL DENTAL CORPORATION
NPI 1720888654
Dentist - Pediatric Dentistry in Yuba City, CA

Active since March 18, 2025
1473 LIVE OAK BLVD, YUBA CITY, CA 95991(530) 751-0599 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr Andrek Skred Ingersoll Dental Corporation NPPES

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

DR ANDREK SKRED INGERSOLL DENTAL CORPORATION (NPI 1720888654), doing business as Feather River Kids Dentistry, is a healthcare organization registered as a pediatric dentistry in Yuba City, California and active in the NPI registry since March 2025. The organization lists Leeann Blazer, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1720888654
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameDR ANDREK SKRED INGERSOLL DENTAL CORPORATION
Location Address1473 LIVE OAK BLVDYuba City, CA 95991-2920
Mailing Address21720 2nd StBurney, CA 96013-9737
Organization SubpartNo
Authorized OfficialLeeann BlazerDirector Of Operations · (707) 673-7531
Enumeration DateMarch 18, 2025
NPPES CertifiedMarch 18, 2025
NPI 1720888654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1473 LIVE OAK BLVD, Yuba City, CA 95991

Other Names 1

Doing Business AsFeather River Kids Dentistry

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 4

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

Dentist (Orthodontics and Dentofacial Orthopedics)
1473 LIVE OAK BLVD
YUBA CITY, CA 95991
Dentist (Pediatric Dentistry)
1473 LIVE OAK BLVD
YUBA CITY, CA 95991
Clinic/Center (Dental)
1473 LIVE OAK BLVD
YUBA CITY, CA 95991
Dentist
1473 LIVE OAK BLVD
YUBA CITY, CA 95991

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 Dr Andrek Skred Ingersoll Dental Corporation's NPI number?

The NPI number for Dr Andrek Skred Ingersoll Dental Corporation is 1720888654. It was assigned to this organization in the NPPES registry on March 18, 2025. The provider is doing business as Feather River Kids Dentistry.

Where is Dr Andrek Skred Ingersoll Dental Corporation located?

Dr Andrek Skred Ingersoll Dental Corporation is located at 1473 Live Oak Blvd, Yuba City, CA 95991. The listed phone number is (530) 751-0599.

What is Dr Andrek Skred Ingersoll Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Dr Andrek Skred Ingersoll Dental Corporation was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.