DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TYSON ANDREW ELLENBECKER, D.D.S.

Active Sole Proprietor

General Dentistry · FPO, AA

Registration Details

NPI Number
1790127835
Provider Type
Individual
Gender
Male
NPI Issued
Jul 17, 2013 (12.826833791329 yrs)
Last Updated
Jul 17, 2013
License
D1019 (SD)
Sole Proprietor
Yes

Practice Information

Address
1ST DENTAL BN/NDC CAMP PENDLETON
BOX 555221
FPO, AA, 920542055
Browse AA providers · Browse ZIP 92054
Phone
7607255419
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in FPO, AA

Name Credential NPI
DR. AUSTIN JOSEPH LADNER D.M.D. 1912345448
DR. JOHN HOUSTON GREINER DMD 1740615350
DR. NICHOLAS ALEXANDER SCHNUR DMD 1477073013
MRS. HANNAH CHRISTINE COOK DMD 1447744826
DR. SAMUEL PAUL HANGER DMD 1679067060
DR. EVAN MICHAEL BLACK D.M.D. 1316599020
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.