Alan G Ingersoll Dds Inc | |
75 West 400 North Orem UT 84057 | |
(801) 225-1179 | |
(801) 225-0085 |
Full Name | Alan G Ingersoll Dds Inc |
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Speciality | Dentist - Endodontics |
Location | 75 West 400 North, Orem, Utah |
Authorized Official Name and Position | Alan Grant Ingersoll (PRESIDENT) |
Authorized Official Contact | 8012251179 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alan G Ingersoll Dds Inc Po Box 573 Orem UT 84057 Ph: (801) 225-1179 | Alan G Ingersoll Dds Inc 75 West 400 North Orem UT 84057 Ph: (801) 225-1179 |
NPI Number | 1891700290 |
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Provider Enumeration Date | 07/31/2006 |
Last Update Date | 10/27/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891700290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 138355-9922 (Utah) | Primary |
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