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DAVID R. TEBBENKAMP DDS PC
NPI 1114127537
Dentist - General Practice in Damascus, VA

Active since July 24, 2007
21788 AZEN RD, DAMASCUS, VA 24236(276) 388-3511(276) 388-3163 Get Directions Write a Review

NPPES record last updated: July 24, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David R. Tebbenkamp Dds Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID R. TEBBENKAMP DDS PC (NPI 1114127537) is a healthcare organization registered as a general practice in Damascus, Virginia and active in the NPI registry since July 2007. The organization lists David Ray Tebbenkamp, Dentist/president, as its authorized official.

NPPES Registry Identity

NPI1114127537
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDAVID R. TEBBENKAMP DDS PC
Location Address21788 AZEN RDDamascus, VA 24236-4236
Mailing Address21788 Azen RdDamascus, VA 24236-4236 · (276) 388-3511 · Fax (276) 388-3163
Phone(276) 388-3511
Fax(276) 388-3163
Organization SubpartNo
Authorized OfficialDavid Ray TebbenkampDentist/president · (276) 388-3511
Enumeration DateJuly 24, 2007
✔ NPI 1114127537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401004941
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
21788 AZEN RD, Damascus, VA 24236
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Other Identifiers 1

Other228633VA · Anthem-blue Cross Blue Sh

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David R. Tebbenkamp Dds PC's NPI number?

The NPI number for David R. Tebbenkamp Dds PC is 1114127537. It was assigned to this organization in the NPPES registry on July 24, 2007.

Where is David R. Tebbenkamp Dds PC located?

David R. Tebbenkamp Dds PC is located at 21788 Azen Rd, Damascus, VA 24236. The listed phone number is (276) 388-3511.

What is David R. Tebbenkamp Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for David R. Tebbenkamp Dds PC was last updated on July 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.