Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tidelands Dental on Glenns Bay LLC

Organization General Practice Dentistry · NPI 1619507019

Tidelands Dental on Glenns Bay LLC provides General Practice Dentistry in Surfside Beach, South Carolina. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1625 Glenns Bay Rd
Surfside Beach, SC 29575-4836
Phone: (843) 650-4500
Fax: (843) 650-4510
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1619507019
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Jones — Business Manager · (603) 531-1001
NPI enumeratedJanuary 24, 2020
Last updated in NPPESJanuary 24, 2020
Certification dateJanuary 24, 2020
Mailing address3577 Marion Ln, Murrells Inlet, SC 29576-6012

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