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DR ANDREK GRANPED INGERSOLL DENTAL CORPORATION
NPI 1740131010
Dentist - Pediatric Dentistry in Granite Bay, CA

Active since February 04, 2026
4150 DOUGLAS BLVD STE B, GRANITE BAY, CA 95746(916) 797-0931 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr Andrek Granped Ingersoll Dental Corporation NPPES

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

DR ANDREK GRANPED INGERSOLL DENTAL CORPORATION (NPI 1740131010), doing business as Bear Hollow Kids Dentistry - Granite Bay, is a healthcare organization registered as a pediatric dentistry in Granite Bay, California and active in the NPI registry since February 2026. The organization lists Stacy Kingrey, Regional Manager, as its authorized official.

NPPES Registry Identity

NPI1740131010
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameDR ANDREK GRANPED INGERSOLL DENTAL CORPORATION
Location Address4150 DOUGLAS BLVD STE BGranite Bay, CA 95746-5908
Mailing Address4150 Douglas Blvd Ste BGranite Bay, CA 95746-5908 · (916) 797-0931
Phone(916) 797-0931
Organization SubpartNo
Authorized OfficialStacy KingreyRegional Manager · (530) 356-4685
Enumeration DateFebruary 4, 2026
NPPES CertifiedFebruary 4, 2026
✔ NPI 1740131010 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.
4150 DOUGLAS BLVD STE B, Granite Bay, CA 95746
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Other Names 1

Doing Business AsBear Hollow Kids Dentistry - Granite Bay

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 3

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

ANDREKGBORTHO INGERSOLL DENTAL CORPORATION
Dentist (Orthodontics and Dentofacial Orthopedics)
4150 DOUGLAS BLVD STE B
GRANITE BAY, CA 95746
Placer County (916) 774-6986
SHAHRYAR SEFIDPOUR,DDS MSD INC
Dentist (Orthodontics and Dentofacial Orthopedics)
4150 DOUGLAS BLVD STE B
GRANITE BAY, CA 95746
Placer County (916) 774-6986
DR. SHAHRYAR SEFIDPOUR DDS MSD MSME
Dentist (Orthodontics and Dentofacial Orthopedics)
4150 DOUGLAS BLVD STE B
GRANITE BAY, CA 95746
Placer County (916) 774-6986

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 Granped Ingersoll Dental Corporation's NPI number?

The NPI number for Dr Andrek Granped Ingersoll Dental Corporation is 1740131010. It was assigned to this organization in the NPPES registry on February 4, 2026. The provider is doing business as Bear Hollow Kids Dentistry - Granite Bay.

Where is Dr Andrek Granped Ingersoll Dental Corporation located?

Dr Andrek Granped Ingersoll Dental Corporation is located at 4150 Douglas Blvd Ste B, Granite Bay, CA 95746. The listed phone number is (916) 797-0931.

What is Dr Andrek Granped 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 Granped Ingersoll Dental Corporation was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.