Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIDEWATER LLC
Active OrganizationTIDEWATER LLC is a General Dentistry organization located in CHARLOTTE HALL, Maryland. NPI 1144884560 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · CHARLOTTE HALL, MD
Registration Details
- NPI Number
- 1144884560
- Provider Type
- Organization
- NPI Issued
- May 1, 2019 (7.2998622712186 yrs)
- Last Updated
- May 2, 2023
Practice Information
- Address
-
30320 TRIANGLE DRCHARLOTTE HALL, MD, 206224109Browse MD providers · Browse ZIP 20622
- Phone
- 3013591717
- Fax
- 3013591719
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Organizations in CHARLOTTE HALL, MD
| Name | NPI |
|---|---|
| ACADEMY DENTAL CARE LLC | 1164075917 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.