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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIDEWATER DENTAL AND ASSOC INC

Active Organization

TIDEWATER DENTAL AND ASSOC INC is a General Dentistry organization located in LEXINGTON PARK, Maryland. NPI 1184703803 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · LEXINGTON PARK, MD

Registration Details

NPI Number
1184703803
Provider Type
Organization
NPI Issued
Nov 3, 2006 (19.790056425398 yrs)
Last Updated
Jul 1, 2008
Licenses
MD13051 (MD)
MD13931 (MD)
MD6466 (MD)

Practice Information

Address
21534 GREAT MILLS RD
LEXINGTON PARK, MD, 20653
Browse MD providers · Browse ZIP 20653
Phone
3018623900
Fax
3018623779
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry

Other General Dentistry Organizations in LEXINGTON PARK, MD

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.