| Justin N Tebbenkamp Dds Pc | |
|
1305 N Main St Blacksburg VA 24060-3129 | |
| (540) 961-3279 | |
| Not Available |
| Full Name | Justin N Tebbenkamp Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 1305 N Main St, Blacksburg, Virginia |
| Authorized Official Name and Position | Justin Neil Tebbenkamp (OWNER/PRESIDENT) |
| Authorized Official Contact | 5409613279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin N Tebbenkamp Dds Pc 1305 N Main St Blacksburg VA 24060-3129 Ph: (540) 961-3279 | Justin N Tebbenkamp Dds Pc 1305 N Main St Blacksburg VA 24060-3129 Ph: (540) 961-3279 |
| NPI Number | 1831408178 |
|---|---|
| Provider Enumeration Date | 10/05/2010 |
| Last Update Date | 10/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831408178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401412219 (Virginia) | Primary |
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