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BASS & KAMP SOUTH MAIN LLC
NPI 1306486840
Clinic/Center - Dental in Blacksburg, VA

Active since January 13, 2020
210 PROFESSIONAL PARK DR SE STE 11, BLACKSBURG, VA 24060(540) 951-3989 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bass & Kamp South Main Llc NPPES

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

BASS & KAMP SOUTH MAIN LLC (NPI 1306486840), doing business as New River Dental Associates, is a healthcare organization registered as a dental in Blacksburg, Virginia and active in the NPI registry since January 2020. The organization lists Justin Neil Tebbenkamp, Member, as its authorized official.

NPPES Registry Identity

NPI1306486840
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBASS & KAMP SOUTH MAIN LLC
Location Address210 PROFESSIONAL PARK DR SE STE 11Blacksburg, VA 24060-6649
Mailing Address210 Professional Park Dr Se Ste 11Blacksburg, VA 24060-6649
Phone(540) 951-3989
Organization SubpartNo
Authorized OfficialJustin Neil TebbenkampMember · (540) 838-5050
Enumeration DateJanuary 13, 2020
✔ NPI 1306486840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
210 PROFESSIONAL PARK DR SE STE 11, Blacksburg, VA 24060
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Other Names 1

Doing Business AsNew River Dental Associates

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 Bass & Kamp South Main LLC's NPI number?

The NPI number for Bass & Kamp South Main LLC is 1306486840. It was assigned to this organization in the NPPES registry on January 13, 2020. The provider is doing business as New River Dental Associates.

Where is Bass & Kamp South Main LLC located?

Bass & Kamp South Main LLC is located at 210 Professional Park Dr SE Ste 11, Blacksburg, VA 24060. The listed phone number is (540) 951-3989.

What is Bass & Kamp South Main LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Bass & Kamp South Main LLC was last updated on January 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.