NPI 1891700290 · live from the CMS NPI Registry
Alan G Ingersoll DDS INC
Dentist, Endodontics in Orem, UT. National Provider Identifier 1891700290, active.
NPI record
| NPI | 1891700290 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Endodontics 1223E0200X |
| Practice location | 75 West 400 North, Orem, UT 84057 |
| Practice phone | 801-225-1179 |
| Mailing address | Po Box 573, Orem, UT 84057 |
| Enumerated | July 31, 2006 |
| Last updated | October 27, 2008 |
| Authorized official | Alan Ingersoll, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Endodontics primary | 1223E0200X | 138355-9922 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.