Individual
CHARLES W. TINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
255 BEACON HILL RD, MOREHEAD, KY 40351-6030
(606) 784-6631
(606) 780-7582
Mailing address
255 BEACON HILL RD, MOREHEAD, KY 40351-6030
(606) 784-6631
(606) 780-7582
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4246
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60042462
—
KY
Enumeration date
03/21/2007
Last updated
07/08/2007
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