Organization · Type 2 NPI

Ingersoll Knollcrest Os Dental Corporation

Oral and Maxillofacial Surgery (Dentist) · Redding, CA

NPI number 1215537444 Active

Practice location

316 Knollcrest Dr
Redding, CA 96002-0104

Mailing address

3300 N Triumph Blvd Ste 100
Lehi, UT 84043-5046

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1215537444

Ingersoll Knollcrest Os Dental Corporation's National Provider Identifier is 1215537444, issued on Oct 27, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Redding, CA. The record was last updated on Oct 27, 2020.