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Dr. Douglas Keen Tavenner JR., DDS
General Practice Dentistry in Frederick, Maryland
NPI 1174678262

Douglas Keen Tavenner JR. is a General Practice Dentistry based in Frederick, MD and is specialized in General Practice. Douglas Keen Tavenner JR. practices in Frederick, MD and has the professional credentials of DDS. The NPI Number for Douglas Keen Tavenner JR. is 1174678262 and holds a License No. 5112 (Maryland).

The current practice location address for Douglas Keen Tavenner JR. is 20 Mountain Gate Drive, Frederick, MD and can be reached out via phone at 301-662-0100.

Location: 20 Mountain Gate Drive, Frederick, MD, 21703-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174678262
Provider Name
Douglas Keen Tavenner JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
20 Mountain Gate Drive, Frederick, MD, 21703-6098
Phone Number
301-662-0100
Fax Number
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
20 Mountain Gate Drive
City
Frederick
State
Maryland
Zip
21703-6098
Phone Number
301-662-0100
Fax Number
person
Provider Business Mailing Address Details
Address
20 Mountain Gate Drive
City
Frederick
State
Maryland
Zip
21703-6098
Phone Number
301-662-0100
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5112 (Maryland)
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.
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