DR. TYSON ANDREW ELLENBECKER D.D.S. NPI 1790127835

NPI Information

  • NPI: 1790127835
  • Provider Name: DR. TYSON ANDREW ELLENBECKER, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 1ST DENTAL BN/NDC CAMP PENDLETON
    BOX 555221
    FPO, AA
    ZIP 92054
  • Phone: (760) 725-5419

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NPI Details

DR. Tyson Andrew Ellenbecker, D.D.S. is a general practice dentist in Fpo, AA. 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. Tyson Andrew Ellenbecker, D.D.S. NPI is 1790127835. 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:

1ST DENTAL BN/NDC CAMP PENDLETON
BOX 555221
FPO, AA
ZIP 92054-055
Phone: (760) 725-5419

The enumeration date for this NPI number is 7/17/2013 and was last updated on 7/17/2013.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeD1019SOUTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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