Individual
DR. ANDREK J INGERSOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1852 DESERT PEACH DR, CARSON CITY, NV 89703-8321
(919) 656-3004
Mailing address
2204 GLENWOOD AVE, PAPILLION, NE 68046-5768
(402) 972-8374
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5653994-9922
UT
1223P0221X
Pediatric Dentistry
105496
CA
Other
Enumeration date
06/24/2010
Last updated
10/27/2020
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