Individual provider · Type 1 NPI

Kelly Ingraham

Prosthodontics · Rochester, MN

NPI number 1629606199 Active

Practice location

200 1st St SW
Rochester, MN 55905-0002

Call (507) 284-2339 Map

Mailing address

PO Box 860912, Provider Enrollment - Rst
Minneapolis, MN 55486-0912

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics Primary 1223P0700XD14374 (MN)
Oral and Maxillofacial Surgery (Dentist) 1223S0112XD14374 (MN)

Prosthodontics: 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.

9,753 other providers at this address

Other prosthodontics providers in Rochester

See all in Rochester →

About NPI 1629606199

Kelly Ingraham's National Provider Identifier is 1629606199, issued on Mar 31, 2020. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Rochester, MN. The record was last updated on Jan 28, 2025.