Individual provider · Type 1 NPI

Kristan Joi Ingraham-McQueen, DMD

Pediatric Dentistry · Parrish, FL

NPI number 1205215837 Active

Practice location

10040 US Highway 301 N Ste A
Parrish, FL 34219-8493

Mailing address

11128 Fieldstone Dr
Palmetto, FL 34221-3890

Other practice locations

  • 5714 21st Ave W, Bradenton, FL 34209-5606 · (941) 229-2348
  • 11157 Florida State Road 70, Lakewood Ranch, FL 34202 · (941) 229-2348

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X11944 (CT)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

About NPI 1205215837

Kristan Joi Ingraham-McQueen, DMD's National Provider Identifier is 1205215837, issued on May 28, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Parrish, FL. The record was last updated on May 5, 2025.