Organization
ALAN G INGERSOLL DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN GRANT INGERSOLL D.D.S. (PRESIDENT)
(801) 225-1179
Entity
Organization
Contact information
Practice address
75 WEST 400 NORTH, OREM, UT 84057
(801) 225-1179
(801) 225-0085
Mailing address
PO BOX 573, OREM, UT 84057
(801) 225-1179
(801) 225-0085
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
138355-9922
UT
Other
Enumeration date
07/31/2006
Last updated
10/27/2008
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