Individual provider · Type 1 NPI

Timothy Tracy Obrien, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Boise, ID

NPI number 1487910733 Active

Practice location

403 S 11th St Ste 320
Boise, ID 83702-6968

Call (208) 375-0191 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD-5013-OS (ID)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1487910733

Timothy Tracy Obrien, DDS, MD's National Provider Identifier is 1487910733, issued on Apr 11, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Boise, ID. The record was last updated on Jun 3, 2021.