MEDICARE: CHARLES JOSEPH TENTINGER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	11574	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	293DOTE	OTHER	MN	BCBS

General Provider Information

NPI Number	:	1528151354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES JOSEPH TENTINGER D.D.S.

Provider Business Mailing Address
First Line	:	710 19TH AVE N
Second Line	:	SUITE 300
City	:	SOUTH ST PAUL
State	:	MN
Zip	:	55075-1359
Country	:	US
Telephone Number	:	651-451-1873
Fax Number	:	651-451-8010

Provider Business Practice Location Address
First Line	:	710 19TH AVE N
Second Line	:	SUITE 300
City	:	SOUTH ST PAUL
State	:	MN
Zip	:	55075-1359
Country	:	US
Telephone Number	:	651-451-1873
Fax Number	:	651-451-8010

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1548218910 — ST. PAUL ORAL SURGERY, P.A.
Practice Location Address:

710 19TH AVE N , SUITE 300
SOUTH ST PAUL, MN
55075-1359

Practice Phone: 651-451-1873
Practice Fax: 651-451-8010

1679662696 — DALE VICTOR OLSON D.D.S.
Practice Location Address:

710 19TH AVE N , SUITE 300
SOUTH ST PAUL, MN
55075-1359

Practice Phone: 651-451-1873
Practice Fax: 651-451-8010

1538649421 — CAREER PATHWAYS
Practice Location Address:

1355 PIERCE BUTLER RTE
SAINT PAUL, MN
55104-1359

Practice Phone: 651-400-1781
Practice Fax: 651-400-1782

1003882150 — DR. KAJAL DASGUPTA M.D.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1881646115 — MS. MELISSA RYAN STRAUSS P.A.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

Directions to “ CHARLES JOSEPH TENTINGER D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.