| Dental Office Of Andrek J Ingersoll | |
|
585 Tahoe Keys Blvd Ste 2 South Lake Tahoe CA 96150-3371 | |
| (530) 541-3772 | |
| Not Available |
| Full Name | Dental Office Of Andrek J Ingersoll |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 585 Tahoe Keys Blvd Ste 2, South Lake Tahoe, California |
| Authorized Official Name and Position | Leeann Blazer (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7076737531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Office Of Andrek J Ingersoll 585 Tahoe Keys Blvd Ste 2 South Lake Tahoe CA 96150-3371 Ph: (530) 541-3772 | Dental Office Of Andrek J Ingersoll 585 Tahoe Keys Blvd Ste 2 South Lake Tahoe CA 96150-3371 Ph: (530) 541-3772 |
| NPI Number | 1417767161 |
|---|---|
| Provider Enumeration Date | 01/13/2025 |
| Last Update Date | 01/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417767161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
A Westfall Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2074 Lake Tahoe Blvd Ste 4, South Lake Tahoe, CA 96150 Phone: 530-600-2835 | |
Nicole M Jane, Dds, Ms, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 965 Tahoe Keys Blvd, South Lake Tahoe, CA 96150 Phone: 530-541-6585 | |
Thomas Rutner Dds Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1116 Ski Run Blvd Ste 1, South Lake Tahoe, CA 96150 Phone: 530-544-3426 | |
Darryl T. Azouz, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1077 4th St, South Lake Tahoe, CA 96150 Phone: 530-541-1353 |