Dr. Eddie Glenn Tennison is a Round Rock, Texas based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Eddie Glenn Tennison is
14580 for General Practice Dentistry in Texas. His current practice location is
2117 N Mays St, Round Rock. Patients can reach him at
512-244-1221.
Dr. Eddie Glenn Tennison is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Eddie Glenn Tennison speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Eddie Glenn Tennison |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2117 N Mays St, Round Rock,
Texas, 78664-2155 |
| Phone: | 512-244-1221 |
| Fax: | 512-244-7773 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1023068038 |
| NPI Enumeration Date: | 11 May, 2006 |
| NPI Last Update On: | 23 Sep, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Eddie Glenn Tennison are as mentioned below.
| License Number | Specialization | State | Status | |
| 14580 | General Practice Dentistry | Texas | Primary | |
| 14580 | Pediatric Dentistry | Texas | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Eddie Glenn Tennison such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 110975302 | Medicaid | Texas | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2021 N Mays St Ste 1200,
Round Rock, Texas |
| Zip: | 78664-2170 |
| Phone Number: | 512-244-1221 |
| Fax Number: | 512-244-7773 |
Patients can reach Dr. Eddie Glenn Tennison at
2117 N Mays St, Round Rock, Texas or can
call to book an appointment on 512-244-1221.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.