| Richard L. Ingraham, Dds, Ms, Pa | |
|
5525 S Staples St Ste C Corpus Christi TX 78411-5366 | |
| (361) 992-4746 | |
| (361) 992-8095 |
| Full Name | Richard L. Ingraham, Dds, Ms, Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5525 S Staples St Ste C, Corpus Christi, Texas |
| Authorized Official Name and Position | Richard L. Ingraham (PRESIDENT) |
| Authorized Official Contact | 3619924746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L. Ingraham, Dds, Ms, Pa 5525 S Staples St Ste C Corpus Christi TX 78411-5366 Ph: (361) 992-4746 | Richard L. Ingraham, Dds, Ms, Pa 5525 S Staples St Ste C Corpus Christi TX 78411-5366 Ph: (361) 992-4746 |
| NPI Number | 1295942431 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295942431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8441 (Texas) | Primary |
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