Shasta Kids Dentistry

LBN: Andrek J Ingersoll Dental Corporation
Shasta Kids Dentistry is an health care organization with primary practice located at 2775 Park Marina Dr Ste A , Redding CA 96001-2840. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Andrek J Ingersoll Dental Corporation can be contacted via phone (919) 656-3004, or through Ingersoll, Andy Jeffrey via phone (530) 579-1722.

Contact Information

Primary practice address
2775 Park Marina Dr Ste A Redding CA 96001-2840
Phone: (919) 656-3004
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ingersoll, Andy Jeffrey Doctor of Dental Medicine (DMD)
Phone: (530) 579-1722

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1528668746
LBN Legal business name Andrek J Ingersoll Dental Corporation
DBA Doing business as Shasta Kids Dentistry
Authorized official Ingersoll, Andy Jeffrey Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2020
Last updated Apr 29th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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