Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tidewater Dental Center, PLLC

Organization General Practice Dentistry · NPI 1275789950

Tidewater Dental Center, PLLC provides General Practice Dentistry in Norfolk, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

425 W 20th St 3
Norfolk, VA 23517-2128 Not confirmed with CMS for 18 years — call before visiting
Phone: (757) 622-4245
Fax: (757) 622-3722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 0401411261 (VA)

Record details

NPI number1275789950
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Ford — Vice President Of Operations · (757) 622-4245
NPI enumeratedAugust 13, 2008
Last updated in NPPESAugust 13, 2008
Mailing address425 W 20th St, 3, Norfolk, VA 23517-2128

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