Individual
DR. TRAVIS TINGEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
2020 N COLE RD, BOISE, ID 83704-7309
(208) 375-0631
Mailing address
2020 N COLE RD, BOISE, ID 83704-7309
(208) 375-0631
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6424
OK
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-4629-OR
ID
Other
Enumeration date
06/26/2013
Last updated
03/16/2024
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