Andrekgbortho Ingersoll Dental Corporation
Orthodontics and Dentofacial Clinic
4150 Douglas Blvd Ste B, Granite Bay
California, 95746-5908
916-774-6986 Maps & DirectionsAndrekgbortho Ingersoll Dental Corporation is a Orthodontics and Dentofacial Clinic in Granite Bay, California. It is located at 4150 Douglas Blvd Ste B, Granite Bay, CA and its contact number is 916-774-6986. The authorized person for Andrekgbortho Ingersoll Dental Corporation is Leeann Blazer
who is Director Of Operations of the clinic and their contact number is 707-673-7531. Other organizations associated with this clinic are Andrekgbortho Ingersoll Dental Corporation, Shahryar Sefidpour,dds Msd Inc,
Andrekgbortho Ingersoll Dental Corporation Clinic is 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 related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Andrekgbortho Ingersoll Dental Corporation Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Andrekgbortho Ingersoll Dental Corporation |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 4150 Douglas Blvd Ste B, Granite Bay,
California, 95746-5908 |
| Phone: | 916-774-6986 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Leeann Blazer |
| Position: | Director Of Operations |
| Contact Number: | 707-673-7531 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Andrekgbortho Ingersoll Dental Corporation clinic are as mentioned below.
| NPI Number: | 1356216907 |
| NPI Enumeration Date: | 06 Oct, 2025 |
| NPI Last Update On: | 06 Oct, 2025 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Andrekgbortho Ingersoll Dental Corporation | Orthodontics and Dentofacial Orthopedics | 1356216907 |
| Shahryar Sefidpour,dds Msd Inc | Orthodontics and Dentofacial Orthopedics | 1518093111 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Andrekgbortho Ingersoll Dental Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Andrekgbortho Ingersoll Dental Corporation
3300 N Triumph Blvd Ste 100,
Lehi, Utah |
| Zip: | 84043-5046 |
| Phone Number: | 707-673-7531 |
Patients can reach Andrekgbortho Ingersoll Dental Corporation at
4150 Douglas Blvd Ste B, Granite Bay, California or can
call to book an appointment on 916-774-6986.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.