Active NPI 1023068038 Individual Practitioner Male Practitioner

Dr. Eddie Glenn Tennison , DDS

Dentist - General Practice • Round Rock, TX

Professional Overview & Biography Verified Profile Summary

Dr. Eddie Tennison, DDS is a registered healthcare professional specializing in Dentist - General Practice in Round Rock, TX. Practice services are available at 2117 N MAYS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2117 N Mays St

Round Rock, TX 786642155

Telephone 5122441221

Fax 5122447773

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Round Rock, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 12.3 Yrs

Regional Practice Density

63 Specialists

Practicing in Round Rock, TX (10570 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

CMS Verified: 2024-09-23

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 14580

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.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License TX 14580

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110975302 (TX)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address September 23, 2024

Registered at 2021 N MAYS ST STE 1200, ROUND ROCK, TX 786642170 (Tel: 5122441221)

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NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 2117 N MAYS ST, ROUND ROCK, TX 786642155 (Tel: 5122441221)

📍

Updated Business Mailing Address July 09, 2007

Registered at 2117 N MAYS ST, ROUND ROCK, TX 786642155 (Tel: 5122441221)

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Provider Name / Credentials Updated July 09, 2007

Recorded as EDDIE TENNISON, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #14580 in TX)

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Initial NPI Registration & Enumeration May 11, 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: 1023068038

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 11, 2006

Last Update: September 23, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2021 N Mays St Ste 1200

Round Rock, TX 786642170

Phone: 5122441221

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.