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

TIDELANDS DENTAL ON GLENNS BAY LLC

Active Organization

TIDELANDS DENTAL ON GLENNS BAY LLC is a General Dentistry organization located in SURFSIDE BEACH, South Carolina. NPI 1619507019 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SURFSIDE BEACH, SC

Registration Details

NPI Number
1619507019
Provider Type
Organization
NPI Issued
Jan 24, 2020 (6.5677550808954 yrs)
Last Updated
Jan 24, 2020

Practice Information

Address
1625 GLENNS BAY RD
SURFSIDE BEACH, SC, 295754836
Browse SC providers · Browse ZIP 29575
Phone
8436504500
Fax
8436504510
Primary Specialty
General Dentistry
1223G0001X
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.