Individual provider · Type 1 NPI
Eddie Glenn Tennison, DDS
General Practice Dentistry · Round Rock, TX
NPI number
1023068038
Active
Practice location
2117 N Mays St
Round Rock, TX 78664-2155
Fax (512) 244-7773
Mailing address
2021 N Mays St Ste 1200
Round Rock, TX 78664-2170
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 14580 (TX) |
| Pediatric Dentistry | 1223P0221X | 14580 (TX) |
General Practice Dentistry: 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.
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About NPI 1023068038
Eddie Glenn Tennison, DDS's National Provider Identifier is 1023068038, issued on May 11, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Round Rock, TX. The record was last updated on Sep 23, 2024.