Provider Demographics
NPI:1497968200
Name:TINGEY, MARK CROFT (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:CROFT
Last Name:TINGEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9750 COVINGTON CROSS DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-7042
Mailing Address - Country:US
Mailing Address - Phone:702-878-8584
Mailing Address - Fax:
Practice Address - Street 1:9750 COVINGTON CROSS DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-7042
Practice Address - Country:US
Practice Address - Phone:702-878-8584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV48681223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics