Kelly Ingraham is a Rochester, Minnesota based Prosthodontics with
5 years of experience in
Prosthetic Dentistry. She completed her graduation from
Harvard School Of Dental Medicine in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kelly Ingraham is
D14374 for Prosthetic Dentistry in Minnesota. Her current practice location is
200 1st St Sw, Rochester. Patients can reach her at
507-284-2339.
Kelly Ingraham specialized in that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Complete Profile:
Kelly Ingraham speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Kelly Ingraham |
| Specialization: | Prosthodontics |
| Gender: | Female |
| Experience: | 5+ years |
| Medical School Attended: | Harvard School Of Dental Medicine |
| Graduation Year: | 2020 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 200 1st St Sw, Rochester,
Minnesota, 55905-0002 |
| Phone: | 507-284-2339 |
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 are as mentioned below.
| PAC ID: | 7719303056 |
| Enrollment ID: | I20200817002537 |
| NPI Number: | 1629606199 |
| NPI Enumeration Date: | 31 Mar, 2020 |
| NPI Last Update On: | 28 Jan, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Ingraham are as mentioned below.
| License Number | Specialization | State | Status | |
| D14374 | Prosthetic Dentistry | Minnesota | Primary | |
| D14374 | Oral and Maxillofacial Surgery | Minnesota | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kelly Ingraham is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Mayo Clinic (6507778255) | 4193 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 860912, Provider Enrollment - Rst
Minneapolis, Minnesota |
| Zip: | 55486-0912 |
| Phone Number: | 507-584-2511 |
Patients can reach Kelly Ingraham at
200 1st St Sw, Rochester, Minnesota or can
call to book an appointment on 507-284-2339.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.