TIDEWATER DENTAL PF
NPI 1053607002
Dentist in Prince Frederick, MD

Active since June 28, 2011
690 PRINCE FREDERICK BLVD, PRINCE FREDERICK, MD 20678(410) 414-8333(301) 862-3779 Get Directions Write a Review

NPPES record last updated: June 28, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tidewater Dental Pf NPPES

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

TIDEWATER DENTAL PF (NPI 1053607002) is a healthcare organization registered as a dentist in Prince Frederick, Maryland and active in the NPI registry since June 2011. The organization lists Connie M Mccabe, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053607002
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameTIDEWATER DENTAL PF
Location Address690 PRINCE FREDERICK BLVDPrince Frederick, MD 20678
Mailing Address690 Prince Frederick BlvdPrince Frederick, MD 20678 · (410) 414-8333 · Fax (301) 862-3779
Fax(301) 862-3779
Organization SubpartNo
Authorized OfficialConnie M MccabeOffice Manager · (301) 862-3900
Enumeration DateJune 28, 2011
NPI 1053607002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in MD · 6466 Licensed in MD · 14501
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

690 PRINCE FREDERICK BLVD, Prince Frederick, MD 20678

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
690 PRINCE FREDERICK BLVD
PRINCE FREDERICK, MD 20678
Dentist (Orthodontics and Dentofacial Orthopedics)
690 PRINCE FREDERICK BLVD
PRINCE FREDERICK, MD 20678

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053607002, enumerated as an "organization" on June 28, 2011.

The provider is located at 690 PRINCE FREDERICK BLVD PRINCE FREDERICK, MD 20678 and the phone number is (410) 414-8333.

Dentist with taxonomy code 122300000X.