| Andrekgbortho Ingersoll Dental Corporation | |
|
4150 Douglas Blvd Ste B Granite Bay CA 95746-5908 | |
| (916) 774-6986 | |
| Not Available |
| Full Name | Andrekgbortho Ingersoll Dental Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4150 Douglas Blvd Ste B, Granite Bay, California |
| Authorized Official Name and Position | Leeann Blazer (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7076737531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrekgbortho Ingersoll Dental Corporation 3300 N Triumph Blvd Ste 100 Lehi UT 84043-5046 Ph: (707) 673-7531 | Andrekgbortho Ingersoll Dental Corporation 4150 Douglas Blvd Ste B Granite Bay CA 95746-5908 Ph: (916) 774-6986 |
| NPI Number | 1356216907 |
|---|---|
| Provider Enumeration Date | 10/06/2025 |
| Last Update Date | 10/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356216907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Zanzi Dental Group, Apc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6910 Douglas Blvd, Suite F, Granite Bay, CA 95746 Phone: 916-780-7676 Fax: 916-780-7681 | |
Almaz, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7005 Boardwalk Dr Ste 100, Granite Bay, CA 95746 Phone: 916-791-4646 Fax: 916-791-5247 | |
Marina Milstein Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7095 Douglas Blvd Ste A, Granite Bay, CA 95746 Phone: 916-677-1216 | |
Kenneth R, Marti Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6049 Douglas Blvd, Suite 9, Granite Bay, CA 95746 Phone: 916-791-4133 Fax: 916-791-1659 | |
Tavallaei, D.m.d., Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4060 Douglas Blvd Ste 110, Granite Bay, CA 95746 Phone: 916-260-0646 | |
S. Jang Dds Incorporated Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4060 Douglas Blvd Ste 110, Granite Bay, CA 95746 Phone: 916-260-0704 | |
Colby Smith Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7060 Douglas Blvd, Granite Bay, CA 95746 Phone: 916-735-4720 |