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

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XCA43978 (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.