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

Kelly Ingraham

Individual provider Prosthodontics · NPI 1629606199

Kelly Ingraham is a Prosthodontics in Rochester, Minnesota. Graduated from Harvard School of Dental Medicine in 2020, 6 years ago. Practices with Mayo Clinic, a 4,796-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Trained at
Harvard School of Dental Medicine
Licensed in
MN
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0002
Phone: (507) 284-2339
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence D14374 (MN)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence D14374 (MN)

Record details

NPI number1629606199
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025
Mailing addressPo Box 860912, Provider Enrollment - Rst, Minneapolis, MN 55486-0912

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPROSTHODONTICS
Medical schoolHARVARD SCHOOL OF DENTAL MEDICINE
Graduated 2020 (6 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rochester