Provider profile

Individual

Tyson Andrew Ellenbecker

Dentist in Fpo, AA. NPI 1790127835, listed in the CMS NPI Registry since 07/17/2013. Bills Medicare.

NPI 1790127835Specialty DentistEnumerated 07/17/2013
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14 days free, no card

Registry and Medicare facts

Practice location
1st Dental Bn/Ndc Camp Pendleton, Fpo, AA 92054
CMS NPI Registry
Phone
(760) 725-5419
CMS NPI Registry
Specialty
Dentist
CMS NPI Registry
Subspecialty
General Practice
CMS NPI Registry
Enumeration date
07/17/2013
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
70 with Part D prescriptions
CMS Medicare 2024

Top 25% of dentist providers in AA by Medicare Part D patients

CMS Medicare 2024

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