Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bass & Kamp South Main LLC

Organization Dental Clinic/Center · NPI 1306486840

Bass & Kamp South Main LLC is a Dental Clinic/Center in Blacksburg, Virginia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

210 Professional Park Dr SE Ste 11
Blacksburg, VA 24060-6649
Phone: (540) 951-3989
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1306486840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Tebbenkamp — Member · (540) 838-5050
Other names New River Dental Associates
NPI enumeratedJanuary 13, 2020
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020
Mailing address210 Professional Park Dr Se Ste 11, Blacksburg, VA 24060-6649

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