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

Dr. Renju Alex Thackenkary, BDS, DDS

Individual provider General Practice Dentistry · NPI 1932410297

Dr. Renju Alex Thackenkary, BDS, DDS is a General Practice Dentistry in Frederick, Maryland. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2010
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.

See every abbreviation used in this directory →

Practice location Address checks out

1700 Kingfisher Dr Ste 11
Frederick, MD 21701-4770
Phone: (301) 501-5600
Fax: (301) 576-7689
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019028383 (IL)

Record details

NPI number1932410297
Entity typeIndividual (Type 1)
GenderMale
Credentials BDS , DDS
Sole proprietorYes
NPI enumeratedJuly 1, 2010
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023

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