# BRIAN TINGEY DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114072154
- **Authorized official:** DR. BRIAN J TINGEY DDS (DENTIST)
- **Authorized official phone:** (208) 734-4111

## Contact information

- **Practice address:** 568 FALLS AVE, TWIN FALLS, ID 83301-3314
- **Practice address phone:** (208) 734-4111
- **Mailing address:** 568 FALLS AVE, TWIN FALLS, ID 83301-3314
- **Mailing address phone:** (208) 734-4111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D-4037 | ID | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/11/2015