Individual provider · Type 1 NPI

Casey Anne Tenniswood, DDS

Pediatric Dentistry · Clifton Park, NY

NPI number 1164653630 Active

Practice location

532 Moe Rd
Clifton Park, NY 12065-3822

Fax (518) 348-6517

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X2901019567 (MI)
Pediatric Dentistry Primary 1223P0221X054477-1 (NY)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1164653630

Casey Anne Tenniswood, DDS's National Provider Identifier is 1164653630, issued on Aug 1, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Clifton Park, NY. The record was last updated on Aug 1, 2009.