DR. DOUGLAS KEEN TAVENNER D.D.S. NPI 1174678262

NPI Information

DR. Douglas Keen Tavenner, D.D.S. is a general practice dentist in Frederick, MD. The provider is 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. DR. Douglas Keen Tavenner, D.D.S. NPI is 1174678262. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20 MOUNTAIN GATE DRIVE
FREDERICK, MD
ZIP 21703-098
Phone: (301) 662-0100

The NPI 1174678262 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/25/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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