Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrek Rosortho Ingersoll Dental Corporation

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1760363832

Andrek Rosortho Ingersoll Dental Corporation is an Orthodontics and Dentofacial Orthopedics Dentistry in Roseville, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1431 Secret Ravine Pkwy # 151
Roseville, CA 95661-4051
Phone: (916) 782-3161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1760363832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leeann Blazer — Director Of Operations · (707) 673-7531
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address1431 Secret Ravine Pkwy # 151, Roseville, CA 95661-4051

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