Individual
JORDAN LEROY TINGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1512 SW 89TH ST, OKLAHOMA CITY, OK 73159-6307
(405) 691-3399
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7342
OK
122300000X
Dentist
Primary
DE61314568
WA
Other
Enumeration date
06/08/2020
Last updated
09/26/2024
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