# STEVEN K. INGERSOLL DDS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912121930
- **Authorized official:** DR. STEVEN K INGERSOLL D.D.S. (PRESIDENT)
- **Authorized official phone:** (602) 953-1744

## Contact information

- **Practice address:** 10211 N 32ND ST STE A1, PHOENIX, AZ 85028-3841
- **Practice address phone:** (602) 953-1744
- **Mailing address:** 10211 N 32ND ST STE A1, PHOENIX, AZ 85028-3841
- **Mailing address phone:** (602) 953-1744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D2811 | AZ | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 08/22/2020