Douglas Keen Tavenner Jr., D.D.S.
General Practice Dentistry · Frederick, MD
Practice location
20 Mountain Gate DriveFrederick, MD 21703-6098
- Phone
- (301) 662-0100
NPI record
- NPI
- 1174678262
- Entity type
- Individual (Type 1)
- Enumeration date
- January 25, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
5112 | MD |
About Dr. Tavenner
Douglas Keen Tavenner Jr., D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 20 Mountain Gate Drive, Frederick, MD 21703-6098. The NPI number 1174678262 was assigned on January 25, 2007 and the record was last updated on July 8, 2007.
Dr. Tavenner lists a license in the registry: #5112 (MD) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Douglas Keen Tavenner Jr., D.D.S.?
The NPI number is 1174678262.
What is the phone number of Dr. Tavenner?
The phone number listed for the practice location is (301) 662-0100.
Where is Dr. Tavenner located?
20 Mountain Gate Drive, Frederick, MD 21703-6098.
What is the taxonomy code for Dr. Tavenner?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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