Individual
DR. BRENT JONATHAN TINGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3245 HOSPITAL DR, JUNEAU, AK 99801
(907) 463-4016
(907) 463-4032
Mailing address
PO BOX 240094, DOUGLAS, AK 99824
(907) 789-8412
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4018
ID
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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