| Tingey Orthodontics | |
|
2020 N Cole Rd Boise ID 83704-7309 | |
| (208) 375-0631 | |
| Not Available |
| Full Name | Tingey Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2020 N Cole Rd, Boise, Idaho |
| Authorized Official Name and Position | Terrell F Tingey (OWNER) |
| Authorized Official Contact | 2083750631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tingey Orthodontics 2020 N Cole Rd Boise ID 83704-7309 Ph: (208) 375-0631 | Tingey Orthodontics 2020 N Cole Rd Boise ID 83704-7309 Ph: (208) 375-0631 |
| NPI Number | 1790229003 |
|---|---|
| Provider Enumeration Date | 12/06/2016 |
| Last Update Date | 12/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790229003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D-1731 (Idaho) | Primary |
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