Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417961400 Individual Practitioner Male Practitioner

Dr. Emil William Tetzner , DMD MS

Dentist - Periodontics • Dover, DE

Professional Overview & Biography Verified Profile Summary

Dr. Emil Tetzner, DMD MS is a registered healthcare professional specializing in Dentist - Periodontics in Dover, DE. Practice services are available at 804 S STATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

804 S State St

Dover, DE 199014123

Telephone 3027449900
Fax 3027449902
Associated Practice Facility / Clinic
🏢 Freedom Dental Select De Llc Facility NPI 1083592877

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Dover, DE

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

Practicing in Dover, DE (18 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 - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License DE G10001022

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1000033719 (DE)
Commercial Insurance / Payer ID United Concordia Ins
617755

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 804 S STATE ST, DOVER, DE 199014123 (Tel: 3027449900)

📍
Updated Business Mailing Address July 08, 2007

Registered at 804 S STATE ST, DOVER, DE 199014123 (Tel: 3027449900)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EMIL TETZNER, DMD MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #G10001022 in DE)

🟢
Initial NPI Registration & Enumeration July 28, 2006

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: 1417961400
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

804 S State St

Dover, DE 199014123

Phone: 3027449900

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.