Justin N Tebbenkamp DDS PC

NPI #1831408178 in Blacksburg, Virginia

Provider Information

NPI Number: 1831408178
Entity Type: Organization
Organization Name: Justin N Tebbenkamp DDS PC
Primary Specialty: Dentist
Enumeration Date: Oct 5, 2010
Last Updated: Oct 5, 2010

Practice Location

Address: 1305 N MAIN ST
City: Blacksburg
State: Virginia
ZIP Code: 24060-3129
Phone: (540) 961-3279

Authorized Official

Name: DR. JUSTIN NEIL TEBBENKAMP, DDS
Title: OWNER/PRESIDENT
Phone: (540) 961-3279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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