P Praxis·MD
● Active Type 1 · Individual

DR. Eddie Glenn Tennison, D.D.S.

Dentist·Round Rock, TX· NPI 1023068038 · Enumerated 2006 · 20 years on NPI
Tennison is 1 of 98 dentist providers in Round Rock and 1 of 15661 in Texas.
NPI age
20 years
Enumerated 2006-05-11
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-09-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 15661 active dentist providers in Texas.

NPI age
20 years
↑ 6 yr above median (14 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
1
In the 13% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
2117 N Mays St
Round Rock, TX 786642155
📞 5122441221fax 5122447773
Mailing address
2021 N Mays St Ste 1200
Round Rock, TX 786642170
📞 5122441221fax 5122447773

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    TX license #14580 taxonomy 1223G0001X
  • Dentist
    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
    TX license #14580 taxonomy 1223P0221X

Identifiers

TypeValueNotes
05 (TX) 110975302

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 1 new dentist provider has been added in Round Rock in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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