Douglas Tavenner, D.D.S.
NPI 1174678262 · General Practice Dentistry · Frederick, MD
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Tavenner, D.D.S. is a General Practice Dentistry provider in Frederick, MD (NPI 1174678262).
Provider details
- NPI number
- 1174678262
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5112 (MD)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2007-07-08
Frequently asked questions
- What is Douglas Tavenner's NPI number?
- Douglas Tavenner's National Provider Identifier (NPI) is 1174678262, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Tavenner's specialty?
- Douglas Tavenner is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Douglas Tavenner located?
- Douglas Tavenner's practice location on file with NPPES is 20 Mountain Gate Drive, Frederick, MD 21703-6098.
- What is Douglas Tavenner's phone number?
- The practice phone number listed in the NPPES registry for Douglas Tavenner is (301) 662-0100.
- Does Douglas Tavenner accept Medicare?
- Douglas Tavenner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Tavenner's NPI active?
- Yes — Douglas Tavenner's NPI (1174678262) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.