Individual provider · Type 1 NPI
Brent Thomas Ingram, DDS
General Practice Dentistry · San Jose, CA
NPI number
1215016829
Active
Practice location
5149 Moorpark Ave, # 101
San Jose, CA 95129
Fax (408) 996-3034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | CA43978 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1215016829
Brent Thomas Ingram, DDS's National Provider Identifier is 1215016829, issued on Nov 3, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.