Tidewater Dental and Assoc Inc
Tidewater Dental and Assoc Inc provides General Practice Dentistry in Lexington Park, Maryland. Licensed in Maryland. Registered with an NPI since 2006.
- Licensed in
- MD
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
21534 Great Mills RdLexington Park, MD 20653 Not confirmed with CMS for 18 years — call before visiting
Phone: (301) 862-3900
Fax: (301) 862-3779
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence MD6466 (MD) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence MD13051 (MD) |
| General Practice Dentistry | Taxonomy 1223G0001X · Licence MD13931 (MD) |
Record details
| NPI number | 1184703803 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Connie McCabe — Financial Admin · (301) 862-3900 |
| Other names | David J Cooper Michael W Owens Hae Sook Kim |
| NPI enumerated | November 3, 2006 |
| Last updated in NPPES | July 1, 2008 |
| Mailing address | 21534 Great Mills Rd, Lexington Park, MD 20653 |
Other providers in Lexington Park
-
Jenny O. Hawkins DDS PC
22749 Maple Rd, Lexington Park, MD 20653-6305 · (301) 863-8822
-
Dr. John Charles Knowlton, DDS
22335 Exploration Dr Ste 1010, Lexington Park, MD 20653-2014 · (301) 862-2118
-
Dr. Jacob Nathan Kott, DDS
21534 Great Mills Rd, Lexington Park, MD 20653-1204 · (301) 862-3900
-
Dr. Mohammad Ali Tabatabaeei-Fatemi, DDS
22684 Three Notch Rd, Lexington Park, MD 20653-2154 · (301) 737-4747
-
Birukitawit K Yirefu, DDS
22749 Maple Rd, Lexington Park, MD 20653-6305 · (301) 863-8822