Tidewater Llc
Dentist - General Practice
About Tidewater Llc
Tidewater Llc is a healthcare organization providing Dentist - General Practice services, with specialized expertise in General Practice, registered under National Provider Identifier (NPI) number 1144884560.
The authorized official for Tidewater Llc is SIMONE WILSON. The organization is headquartered at 30320 TRIANGLE DR, Charlotte Hall, Maryland 20622. The main office can be reached at (301) 359-1717. It is part of TIDEWATER, LLC.
Tidewater Llc has been NPI-registered since 2019.
Locations & Contact
Primary Location
- Address
- 30320 TRIANGLE DR
- City
- Charlotte Hall
- State
- Maryland
- ZIP
- 20622-4109
- Phone
- (301) 359-1717
- Fax
- (301) 359-1719
Authorized Official
- Name
- SIMONE WILSON
Mailing Address
- Address
- 21534 GREAT MILLS RD
- City
- LEXINGTON PARK
- State
- MD
- ZIP
- 206531204
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Dentist - General Practice
- Classification
- Dentist
- Specialization
- General Practice
- Taxonomy Code
- 1223G0001X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
- Group Practice
- TIDEWATER, LLC
Frequently Asked Questions
What is Tidewater Llc's NPI number?
What does Tidewater Llc specialize in?
Where is Tidewater Llc located?
Does Tidewater Llc accept Medicare?
Does Tidewater Llc offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Tidewater Llc holds NPI 1144884560, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.