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

Individual provider Dentist · NPI 1164653630

Dr. Casey Anne Tenniswood, DDS is a Dentist in Clifton Park, New York. Practices as a sole proprietor. Licensed in Michigan and New York.

Licensed in
MI, NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

532 Moe Rd
Clifton Park, NY 12065-3822
Phone: (518) 373-1181
Fax: (518) 348-6517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 054477-1 (NY)
Dentist Taxonomy 122300000X · Licence 2901019567 (MI)

Record details

NPI number1164653630
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 1, 2009
Last updated in NPPESAugust 1, 2009

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