NPI

Bass & Kamp South Main LLC

Doing business as New River Dental Associates. NPI 1306486840

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2020-01-13
Last updated
2020-01-13

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
210 Professional Park Dr SE Ste 11
City
Blacksburg VA
Postal code
24060-6649
Phone
(540) 951-3989

Organization contact

Name
Justin Tebbenkamp
Title
Member
Phone
(540) 838-5050

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Blacksburg, VA. 1,064 records in the public file.

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