Bingham, Kory

Bingham, Kory is an individual health care provider with primary practice located at 3299 E 17Th St , Ammon ID 83406-6758. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Bingham, Kory can be contacted via phone (208) 529-3007.

Contact Information

Primary practice address
3299 E 17Th St Ammon ID 83406-6758
Phone: (208) 529-3007
Fax: (208) 529-1525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DE00009846 Washington
Dental Providers / Pediatric Dentistry 1223P0221X 1361 Wyoming
Dental Providers / Pediatric Dentistry 1223P0221X D-3493-PD Idaho

Profile Details

NPI number 1124183207
LBN Legal business name Bingham, Kory
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated May 21st, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124183207 NPPES
Washington MEDICAID 1090892

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