Individual provider · Type 1 NPI
Kory Bingham, DDS
Pediatric Dentistry · Rigby, ID
NPI number
1124183207
Active
Practice location
688 Rigby Lake Dr Ste 4
Rigby, ID 83442-1285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | 1361 (WY) |
| Pediatric Dentistry | 1223P0221X | DE00009846 (WA) |
| Pediatric Dentistry Primary | 1223P0221X | D-3493-PD (ID) |
Pediatric Dentistry: 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.
About NPI 1124183207
Kory Bingham, DDS's National Provider Identifier is 1124183207, issued on Dec 27, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Rigby, ID. The record was last updated on Dec 16, 2025.