Organization
TINGEY ORTHODONTICS
Active
Organization
TINGEY ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRELL F TINGEY DDS MSD (OWNER)
(208) 375-0631
Entity
Organization
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
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-1731
ID
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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