# DR. BRIAN JOHN TINGEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811942667
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2005015021 | MO | — |
| 122300000X | Dentist | D-4037 | ID | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 07/08/2007