Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790127835 Individual Practitioner Male Practitioner

Dr. Tyson Andrew Ellenbecker , DDS

Dentist - General Practice • Fpo, AA

Professional Overview & Biography Verified Profile Summary

Dr. Tyson Ellenbecker, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fpo, AA. Practice services are available at 1ST DENTAL BN/NDC CAMP PENDLETON under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1st Dental Bn/ndc Camp Pendleton
Box 555221

Fpo, AA 920542055

Telephone 7607255419
Associated Practice Facility / Clinic
🏢 Us Navy Facility NPI 1730636903

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fpo, AA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
15 Specialists

Practicing in Fpo, AA (28 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License SD D1019

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Lisa Dundas , DDS

Dentist - General Practice

NPI 1346234721

Doctor of Dental Surgery

NPI 1366818965

Doctor of Dental Surgery

NPI 1821564345

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 17, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2013

Registered at 1ST DENTAL BN/NDC CAMP PENDLETON, BOX 555221, FPO, AA 920542055 (Tel: 7607255419)

📍
Updated Business Mailing Address July 17, 2013

Registered at 1ST DENTAL BN/NDC CAMP PENDLETON, BOX 555221, FPO, AA 92054

👤
Provider Name / Credentials Updated July 17, 2013

Recorded as TYSON ELLENBECKER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2013

Dentist (License #D1019 in SD)

🟢
Initial NPI Registration & Enumeration July 17, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790127835
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2013
Last Update: July 17, 2013
Sole Proprietor: Yes

Mailing Address

1st Dental Bn/ndc Camp Pendleton, Box 555221

Fpo, AA 92054

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.