MEDICARE: TENZIN SENGYE DDS

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	122300000X	Dentist	DS044701	PA
2	1223G0001X	General Practice Dentistry	18733	MD

General Provider Information

NPI Number	:	1639913296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TENZIN SENGYE DDS

Provider Business Mailing Address
First Line	:	8651 FORT SMALLWOOD RD
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-2445
Country	:	US
Telephone Number	:	410-437-3773
Fax Number	:

Provider Business Practice Location Address
First Line	:	8651 FORT SMALLWOOD RD
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-2445
Country	:	US
Telephone Number	:	410-437-3773
Fax Number	:

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

Provider Enumeration Date	:	06/19/2024
Last Update Date	:	06/25/2025

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