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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TIDEWATER DENTAL LLC
NPI 1033022272
Dentist - General Practice in Richmond Hill, GA

Active since September 28, 2026
10104 FORD AVE STE G2, RICHMOND HILL, GA 31324(207) 991-1064 Get Directions Write a Review

NPPES record added: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tidewater Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDEWATER DENTAL LLC (NPI 1033022272) is a healthcare organization registered as a general practice in Richmond Hill, Georgia and active in the NPI registry since September 2026. The organization lists Christopher Parent, Dentist, as its authorized official.

NPPES Registry Identity

NPI1033022272
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIDEWATER DENTAL LLC
Location Address10104 FORD AVE STE G2Richmond Hill, GA 31324-8850
Mailing Address308 Kerry DrRichmond Hill, GA 31324-9210 · (207) 991-1064
Phone(207) 991-1064
Organization SubpartNo
Authorized OfficialChristopher ParentDentist · (207) 991-1064
Enumeration DateSeptember 28, 2026
NPPES CertifiedSeptember 28, 2026
✔ NPI 1033022272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
10104 FORD AVE STE G2, Richmond Hill, GA 31324
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tidewater Dental LLC's NPI number?

The NPI number for Tidewater Dental LLC is 1033022272. It was assigned to this organization in the NPPES registry on September 28, 2026.

Where is Tidewater Dental LLC located?

Tidewater Dental LLC is located at 10104 Ford Ave Ste G2, Richmond Hill, GA 31324. The listed phone number is (207) 991-1064.

What is Tidewater Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Tidewater Dental LLC was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.