Individual
JOSEPH RICKS TINGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3510 N RIDGE RD, SUITE 500, WICHITA, KS 67205-1224
(316) 722-0800
(316) 722-5822
Mailing address
3510 N RIDGE RD, SUITE 500, WICHITA, KS 67205-1224
(316) 722-0800
(316) 722-5822
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
61161
KS
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
61161
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2012
Last updated
11/12/2019
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