Dr. David R Tebbenkamp , DDS
Dentist - General Practice • Damascus, VA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Tebbenkamp has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. David Tebbenkamp, DDS was a registered Dentist - General Practice practicing in Damascus, VA. Throughout an active medical career spanning 12 years, Dr. Tebbenkamp provided care at the practice location at 21788 AZEN RD until profile deactivation on 2018-12-11.
Practice Location & Contact Primary Location
21788 Azen Rd
Damascus, VA 242364236
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Damascus, VA
Practicing in Damascus, VA (3535 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 11, 2018
NPI status registered as active in NPPES database
Registered at 21788 AZEN RD, DAMASCUS, VA 242364236 (Tel: 2763883511)
Registered at 21788 AZEN RD, DAMASCUS, VA 242364236 (Tel: 2763883511)
Recorded as DAVID TEBBENKAMP, DDS
Dentist (License #0401004941 in VA)
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
21788 Azen Rd
Damascus, VA 242364236
Phone: 2763883511
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