Individual provider · Type 1 NPI

Douglas Keen Tavenner Jr., DDS

General Practice Dentistry · Frederick, MD

NPI number 1174678262 Active

Practice location

20 Mountain Gate Drive
Frederick, MD 21703-6098

Call (301) 662-0100 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X5112 (MD)

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 1174678262

Douglas Keen Tavenner Jr., DDS's National Provider Identifier is 1174678262, issued on Jan 25, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Frederick, MD. The record was last updated on Jul 8, 2007.