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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TIMOTHY TRACY OBRIEN, DDS, MD

Active

DR. TIMOTHY TRACY OBRIEN, DDS, MD is a Oral & Maxillofacial Surgery healthcare provider located in BOISE, Idaho. NPI 1487910733 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · BOISE, ID

Registration Details

NPI Number
1487910733
Provider Type
Individual
Gender
Male
NPI Issued
Apr 11, 2012 (14.303078927161 yrs)
Last Updated
Jun 3, 2021
License
D-5013-OS (ID)

Practice Information

Address
403 S 11TH ST STE 320
BOISE, ID, 837026968
Browse ID providers · Browse ZIP 83702
Phone
2083750191
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in BOISE, ID

Name Credential NPI
J BRETT COMSTOCK DDS 1710938733
VICTOR D COOK DDS 1982650404
MICHAEL R BAILEY M.D., D.D.S. 1891727582
DR. PAUL M LAMBERT DDS 1851404461
DR. BRUCE MORRISON DDS 1790892610
DR. KEVIN G KEMPERS DDS, MD 1255435459
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.