Individual
DR. BRENDON THUESON TINGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11501 S 4000 W STE 101, SOUTH JORDAN, UT 84009-6028
(801) 701-2120
Mailing address
14407 MURDOCK PEAK DR, HERRIMAN, UT 84096-1855
(801) 792-2510
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12797324-9923
UT
1223G0001X
General Practice Dentistry
DDS-09893
IA
Other
Enumeration date
06/14/2021
Last updated
04/26/2022
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