Most Relevant Information
Provider Data
| NPI Number: | 1003487802 |
| Provider Name: | HANNAH MARIE INGRAM DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | D-5311 |
Most Important Dates
| Enumeration Date: | 07/02/2021 |
| Last Updated: | 04/15/2024 |
Provider Practice Location
19501 E US HIGHWAY 40
INDEPENDENCE
MO
640555475
Practice Location Phone/Fax
| Phone: | 8167959500 |
| Fax: |
Provider Mailing Location
19501 E US HIGHWAY 40
INDEPENDENCE
MO
640555475
Provider Mailing Phone/Fax
| Phone: | 8167959500 |
| Fax: |