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Dr. Kory Bingham, DDS
Pediatric Dentist in Ammon, Idaho
NPI 1124183207

Kory Bingham is a Pediatric Dentist based in Iona, ID and is specialized in Pediatric Dentistry. Kory Bingham practices in Ammon, ID and has the professional credentials of DDS. The NPI Number for Kory Bingham is 1124183207 and holds a License No. DE00009846 (Idaho).

The current practice location address for Kory Bingham is 3299 E 17Th St, Ammon, ID and can be reached out via phone at 208-529-3007 and via fax at 208-529-1525.

Location: 3299 E 17Th St, Ammon, ID, 83427-0191
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124183207
Provider Name
Kory Bingham
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3299 E 17Th St, Ammon, ID, 83427-0191
Phone Number
208-529-3007
Fax Number
208-529-1525
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1090892 05 WA
institution
Provider Business Practice Location Address Details
Address
3299 E 17Th St
City
Ammon
State
Idaho
Zip
83406-6758
Phone Number
208-529-3007
Fax Number
208-529-1525
person
Provider Business Mailing Address Details
Address
3299 E 17Th St
City
Ammon
State
Idaho
Zip
83406-6758
Phone Number
208-529-3007
Fax Number
208-529-1525
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DE00009846 (Washington)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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