Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Timothy Tracy Obrien, DDS, MD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1487910733

Dr. Timothy Tracy Obrien, DDS, MD is an Oral and Maxillofacial Surgery (Dentist) in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

403 S 11th St Ste 320
Boise, ID 83702-6968
Phone: (208) 375-0191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence D-5013-OS (ID)

Record details

NPI number1487910733
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MD
Sole proprietorNo
NPI enumeratedApril 11, 2012
Last updated in NPPESJune 3, 2021
Certification dateJune 3, 2021
Mailing address403 S 11th St Ste 320, Boise, ID 83702-6968

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