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Dr. Eddie Glenn Tennison, DDS
Pediatric Dentist in Round Rock, Texas
NPI 1023068038

Eddie Glenn Tennison is a Pediatric Dentist based in Round Rock, TX and is specialized in Pediatric Dentistry. Eddie Glenn Tennison practices in Round Rock, TX and has the professional credentials of DDS. The NPI Number for Eddie Glenn Tennison is 1023068038 and holds a License No. 14580 (Texas).

The current practice location address for Eddie Glenn Tennison is 2117 N Mays St, Round Rock, TX and can be reached out via phone at 512-244-1221 and via fax at 512-244-7773.

Location: 2117 N Mays St, Round Rock, TX, 78664-2170
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023068038
Provider Name
Eddie Glenn Tennison
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2117 N Mays St, Round Rock, TX, 78664-2170
Phone Number
512-244-1221
Fax Number
512-244-7773
Provider Enumeration Date
05/11/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110975302 05 TX
institution
Provider Business Practice Location Address Details
Address
2117 N Mays St
City
Round Rock
State
Texas
Zip
78664-2155
Phone Number
512-244-1221
Fax Number
512-244-7773
person
Provider Business Mailing Address Details
Address
2117 N Mays St
City
Round Rock
State
Texas
Zip
78664-2155
Phone Number
512-244-1221
Fax Number
512-244-7773
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
14580 (Texas)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
14580 (Texas)
Definition
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.
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