Andrekgbortho Ingersoll Dental Corporation
NPI 1356216907 · Orthodontics and Dentofacial Orthopedics Dentistry · Granite Bay, CA
Andrekgbortho Ingersoll Dental Corporation is a Orthodontics and Dentofacial Orthopedics Dentistry organization in Granite Bay, CA (NPI 1356216907).
Provider details
- NPI number
- 1356216907
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Leeann Blazer, Director of Operations(707) 673-7531
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-10-06
- Last updated
- 2025-10-06
- Certified
- 2025-10-06
Frequently asked questions
- What is Andrekgbortho Ingersoll Dental Corporation's NPI number?
- Andrekgbortho Ingersoll Dental Corporation's National Provider Identifier (NPI) is 1356216907, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Andrekgbortho Ingersoll Dental Corporation?
- Andrekgbortho Ingersoll Dental Corporation is classified in the NPPES registry as Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Andrekgbortho Ingersoll Dental Corporation located?
- Andrekgbortho Ingersoll Dental Corporation's practice location on file with NPPES is 4150 Douglas Blvd Ste B, Granite Bay, CA 95746-5908.
- What is Andrekgbortho Ingersoll Dental Corporation's phone number?
- The practice phone number listed in the NPPES registry for Andrekgbortho Ingersoll Dental Corporation is (916) 774-6986.
- Who is the authorized official for Andrekgbortho Ingersoll Dental Corporation?
- The authorized official listed on Andrekgbortho Ingersoll Dental Corporation's NPPES record is Leeann Blazer, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Andrekgbortho Ingersoll Dental Corporation's NPI active?
- Yes — Andrekgbortho Ingersoll Dental Corporation's NPI (1356216907) is active in the NPPES registry as of the last update on 2025-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.