Provider Demographics
NPI:1912114109
Name:TINGEY, ERIN MACKAY (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:MACKAY
Last Name:TINGEY
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22530 SE 64TH PL STE 230
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-5353
Mailing Address - Country:US
Mailing Address - Phone:425-392-9224
Mailing Address - Fax:425-392-2325
Practice Address - Street 1:22530 SE 64TH PL STE 230
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-5353
Practice Address - Country:US
Practice Address - Phone:425-392-9224
Practice Address - Fax:425-392-2325
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA88221223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics