DR. TYSON ANDREW ELLENBECKER D.D.S.
NPI 1790127835
Dentist - General Practice in Fpo, AA

Q: What is Tyson Ellenbecker's NPI number?

The NPI number for Tyson Ellenbecker is 1790127835. It was assigned to this individual provider in the NPPES registry on July 17, 2013.

Q: What is Tyson Ellenbecker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tyson Ellenbecker was last updated on July 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 17, 2013

1ST DENTAL BN/NDC CAMP PENDLETON, BOX 555221, FPO, AA 92054(760) 725-5419 Get Directions Write a Review

NPPES record last updated: July 17, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Tyson Andrew Ellenbecker D.d.s. NPPES

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

DR. TYSON ANDREW ELLENBECKER D.D.S. (NPI 1790127835) is an individual general practice provider in Fpo, AA, licensed in South Dakota (D1019) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1790127835

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TYSON ANDREW ELLENBECKERCredential: D.D.S.

Location Address1ST DENTAL BN/NDC CAMP PENDLETON, BOX 555221Fpo, AA 92054-2055

Mailing Address1st Dental Bn/ndc Camp Pendleton, Box 555221Fpo, AA 92054

Phone(760) 725-5419

Sole ProprietorYes

Enumeration DateJuly 17, 2013

✔ NPI 1790127835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in SD · D1019

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.

1ST DENTAL BN/NDC CAMP PENDLETON, Fpo, AA 92054

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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 Tyson Ellenbecker's NPI number?

The NPI number for Tyson Ellenbecker is 1790127835. It was assigned to this individual provider in the NPPES registry on July 17, 2013.

Where is Tyson Ellenbecker located?

Tyson Ellenbecker practices at 1st Dental Bn/Ndc Camp Pendleton Box 555221, Fpo, AA 92054. The listed phone number is (760) 725-5419.

What is Tyson Ellenbecker'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 Tyson Ellenbecker was last updated on July 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.