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DR. TARHONDA LEAH INGRAM DMD
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1275940686
Individual Registrant:DR. TARHONDA LEAH INGRAM DMD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
112 VILSECK ROAD, BLDG. 419-2 FT. STEWART, GA 31315 US
Tel: 912-257-7056 Fax: 912-257-7055
Tel: 912-257-7056 Fax: 912-257-7055
Contact information for business:
1061 HARMON AVE US ARMY DENTAL HEALTH ACTIVITY FORT STEWART, GA 31314-5641 US
Tel: 912-435-7006 Fax: --
Tel: 912-435-7006 Fax: --
Registration Information:
NPI: 1275940686
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | GA | DN014799 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
