OrganizationActive
Justin N Tebbenkamp DDS PC
NPI 1831408178 · Dentist · Blacksburg, VA
Provider details
- NPI number
- 1831408178
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Justin Tebbenkamp, Owner/President(540) 961-3279
- License
- 0401412219 (VA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1305 N Main St
Blacksburg, VA 24060-3129
Phone: (540) 961-3279
Street-level locationGet directions
Mailing address
1305 N Main St
Blacksburg, VA 24060-3129
Registry dates
- Enumerated
- 2010-10-05
- Last updated
- 2010-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.