Ingram And Daugherty Orthodontists, Llc in Lebanon - Orthodontics And Dentofacial Orthopedics

Ingram And Daugherty Orthodontists, Llc - NPI 1396870317

Ingram And Daugherty Orthodontists, Llc is a Orthodontics And Dentofacial Orthopedics in Lebanon, Pennsylvania. Ingram And Daugherty Orthodontists, Llc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Ingram And Daugherty Orthodontists, Llc is 1396870317. The last update date is 2020-08-22.

Ingram And Daugherty Orthodontists, Llc's current location address is 710 S 12th St, Lebanon, Pennsylvania. You can contact this provider via phone number 7172742913. The mailing address for Ingram And Daugherty Orthodontists, Llc is 710 S 12th St, Lebanon, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ingram And Daugherty Orthodontists, Llc
Address 710 S 12th St, Lebanon, Pennsylvania
Phone Number 7172742913
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ORTHODONTI
Authorized Official Name Ingram B Stephen
Credentials DMD, CERT
Telephone Number 7172742913

NPI Number Detail

NPI Number 1396870317
Provider Enumeration Date 2007-02-22
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 710 S 12th St
City Lebanon
State Pennsylvania (PA)
Post Code 170426901
Phone Number 7172742913
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No DS020047L
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DS020047L PA DR INGRAMS STATE LICENSE

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FAQs about Ingram And Daugherty Orthodontists, Llc

What is the unique 10-digit identification code assigned to Ingram And Daugherty Orthodontists, Llc by the Centers for Medicare & Medicaid Services?

The Ingram And Daugherty Orthodontists, Llc has been issued the NPI (National Provider Identifier) 1396870317, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Ingram And Daugherty Orthodontists, Llc is physically located?

The Ingram And Daugherty Orthodontists, Llc is situated at the following address: 710 S 12Th St, Lebanon, PA 170426901.

What is Ingram And Daugherty Orthodontists, Llc's area of expertise and its corresponding taxonomy classification?

The Ingram And Daugherty Orthodontists, Llc's field of specialization is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1396870317 assigned to Ingram And Daugherty Orthodontists, Llc?

The Ingram And Daugherty Orthodontists, Llc was issued its 1396870317 on 2007-02-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Ingram And Daugherty Orthodontists, Llc most recently updated or revised?

The details related to Ingram And Daugherty Orthodontists, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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