Individual
MR. JASON B INGBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4664 W WALTON BLVD, WATERFORD TWP, MI 48329-3537
(248) 674-0418
(248) 674-4518
Mailing address
4664 W WALTON, WATERFORD, MI 48329
(248) 674-0418
(248) 674-4518
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16729
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123166271
—
MI
Enumeration date
11/15/2006
Last updated
11/04/2019
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