Individual
DR. PETER DOUGLAS INGOLDSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-9588
Mailing address
290 N WAYTE LN, FRESNO, CA 93701-2124
(559) 459-4101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
62870
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
62870
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/14/2013
Last updated
04/20/2018
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