Provider Demographics
NPI:1851083422
Name:INGRAM, ASHLEY ELIZABETH (DMD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ELIZABETH
Last Name:INGRAM
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2827 E MILLENNIUM DR STE 3
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-6528
Mailing Address - Country:US
Mailing Address - Phone:479-313-7373
Mailing Address - Fax:479-313-7379
Practice Address - Street 1:2827 E MILLENNIUM DR STE 3
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-6528
Practice Address - Country:US
Practice Address - Phone:479-313-7373
Practice Address - Fax:479-313-7379
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4880122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist