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

Dental Office of Andrek J Ingersoll

Organization Dental Clinic/Center · NPI 1417767161

Dental Office of Andrek J Ingersoll is a Dental Clinic/Center in South Lake Tahoe, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

585 Tahoe Keys Blvd Ste 2
South Lake Tahoe, CA 96150-3371
Phone: (530) 541-3772
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1417767161
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leeann Blazer — Director Of Operations · (707) 673-7531
NPI enumeratedJanuary 13, 2025
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025
Mailing address585 Tahoe Keys Blvd Ste 2, South Lake Tahoe, CA 96150-3371

Other providers in South Lake Tahoe