SHAD INGRAM, DDS

Dentist

Active Individual
NPI: 1154456010

Practice Address

780 S 2000 W
F 1
Syracuse, UT 84075

Phone: (801) 776-3000

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 5927977 (UT)

Frequently Asked Questions

NPI 1154456010 is the National Provider Identifier for SHAD INGRAM, DDS, a Dentist provider located in Syracuse, UT. This NPI was enumerated on February 22, 2007.
SHAD INGRAM, DDS practices at 780 S 2000 W, F 1, Syracuse, UT 84075.

Quick Facts

NPI
1154456010
Type
Individual
Enumerated
Feb 22, 2007
Last Updated
Jul 8, 2007

Nearby Providers