Andrekgbortho 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.
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.