Individual
DR. KEVIN L TINGEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11615 W STATE ST, STAR, ID 83669-5223
(208) 274-5500
Mailing address
7723 W RIVERSIDE DR, BOISE, ID 83714-6182
(208) 853-8811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4753
ID
Other
Enumeration date
05/31/2016
Last updated
02/27/2024
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