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Contact Information

ANDREK PMENDO INGERSOLL DENTAL CORPORATION
2301 PARK MARINA DR STE 23
REDDING, CA96001-2158
 Phone: 530-697-0110
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ANDREK PMENDO INGERSOLL DENTAL CORPORATION

NPI # 1942098934
LBN Legal business name ANDREK PMENDO INGERSOLL DENTAL CORPORATION
Authorized official LEEANN BLAZER - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 04/29/2025
Last updated 04/29/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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