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

TIDEWATER LLC

Active Organization

TIDEWATER LLC is a Dentist organization located in LEXINGTON PARK, Maryland. NPI 1235642984 is currently active in the NPPES registry. Verify at CMS.

Dentist · LEXINGTON PARK, MD

Registration Details

NPI Number
1235642984
Provider Type
Organization
NPI Issued
Nov 15, 2017 (8.7378761970363 yrs)
Last Updated
Nov 15, 2017

Practice Information

Address
21534 GREAT MILLS RD
LEXINGTON PARK, MD, 206531204
Browse MD providers · Browse ZIP 20653
Phone
3018623900
Fax
3018623779
Primary Specialty
Dentist
122300000X

Other Dentist 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.