Provider Demographics
NPI:1184797052
Name:SCOBEL, INGRID R (DDS,MS)
Entity type:Individual
Prefix:MRS
First Name:INGRID
Middle Name:R
Last Name:SCOBEL
Suffix:
Gender:F
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11550 INDIAN HILLS RD STE 250
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-1244
Mailing Address - Country:US
Mailing Address - Phone:818-365-9118
Mailing Address - Fax:818-361-4146
Practice Address - Street 1:11550 INDIAN HILLS RD STE 250
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-1244
Practice Address - Country:US
Practice Address - Phone:818-365-9118
Practice Address - Fax:818-361-4146
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA419861223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics