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

Dr. Andrek J Ingersoll, DMD

Individual provider Pediatric Dentistry · NPI 1689985509

Dr. Andrek J Ingersoll, DMD is a Pediatric Dentistry in Carson City, Nevada. Licensed in California and Utah. Registered with an NPI since 2010.

Licensed in
CA, UT
In the registry since
2010
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1852 Desert Peach Dr
Carson City, NV 89703-8321
Phone: (919) 656-3004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5653994-9922 (UT)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 105496 (CA)

Record details

NPI number1689985509
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 24, 2010
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020

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