Lee R Ingersoll is a Endodontics in Santa Ana, California. Lee R Ingersoll practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Lee R Ingersoll is 1447454202. The last update date is 2007-07-08.
Lee R Ingersoll's current location address is 1200 N Tustin Ave, Santa Ana, California. You can contact this provider via phone number 7145581842 and fax number 7145581854. The mailing address for Lee R Ingersoll is 1200 N Tustin Ave, Santa Ana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lee R Ingersoll |
|---|---|
| Address | 1200 N Tustin Ave, Santa Ana, California |
| Phone Number | 7145581842 |
| Fax Number | 7145581854 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1447454202 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1200 N Tustin Ave |
|---|---|
| City | Santa Ana |
| State | California (CA) |
| Post Code | 927053508 |
| Phone Number | 7145581842 |
| Fax Number | 7145581854 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 21260 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique identification code assigned to Lee R Ingersoll by the Centers for Medicare & Medicaid Services?
The Lee R Ingersoll has been issued the NPI (National Provider Identifier) 1447454202. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lee R Ingersoll's physical address?
The Lee R Ingersoll is physically located at 1200 N Tustin Ave, in the city of Santa Ana, CA, with the postal code 927053508.
What is Lee R Ingersoll's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lee R Ingersoll's specialized field of practice is Endodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223E0200X.
When did the Lee R Ingersoll receive its 1447454202?
The Lee R Ingersoll was issued its 1447454202 on 2007-06-13, which is the date when the organization was assigned this unique identifier.
When was the information related to Lee R Ingersoll most recently updated or refreshed?
The details pertaining to the Lee R Ingersoll, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.