Organization · Type 2 NPI

DR Andrek Granped Ingersoll Dental Corporation

Pediatric Dentistry · Granite Bay, CA

NPI number 1740131010 Active

Practice location

4150 Douglas Blvd Ste B
Granite Bay, CA 95746-5908

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

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.

3 other providers at this address

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About NPI 1740131010

DR Andrek Granped Ingersoll Dental Corporation's National Provider Identifier is 1740131010, issued on Feb 4, 2026. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Granite Bay, CA. The record was last updated on Feb 4, 2026.