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TIDEWATER DENTAL CENTER, PLLC
NPI 1275789950
Dentist - General Practice in Norfolk, VA

Active since August 13, 2008
425 W 20TH ST, 3, NORFOLK, VA 23517(757) 622-4245(757) 622-3722 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tidewater Dental Center, Pllc NPPES

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

TIDEWATER DENTAL CENTER, PLLC (NPI 1275789950) is a healthcare organization registered as a general practice in Norfolk, Virginia and active in the NPI registry since August 2008. The organization lists Amy D Ford, Vice President Of Operations, as its authorized official.

NPPES Registry Identity

NPI1275789950
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIDEWATER DENTAL CENTER, PLLC
Location Address425 W 20TH ST, 3Norfolk, VA 23517-2128
Mailing Address425 W 20th St, 3Norfolk, VA 23517-2128 · (757) 622-4245 · Fax (757) 622-3722
Phone(757) 622-4245
Fax(757) 622-3722
Organization SubpartNo
Authorized OfficialAmy D FordVice President Of Operations · (757) 622-4245
Enumeration DateAugust 13, 2008
✔ NPI 1275789950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401411261
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.
425 W 20TH ST, Norfolk, VA 23517
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

CLEMENT STOKES KIRKLAND JR. M.D.
Family Medicine
425 W 20TH ST, SUITE 1
NORFOLK, VA 23517
Norfolk City (757) 622-6520
EDWARD GUYTON, LCSW
Community/Behavioral Health
425 W 20TH ST, SUITE 5
NORFOLK, VA 23517
Norfolk City (757) 286-0264
DR. MICHAEL SCOTT NIBLO DC
Chiropractor
425 W 20TH ST, STE.6
NORFOLK, VA 23517
Norfolk City (757) 622-8777
DR. STONSA N. INSINNA PH.D.
Registered Nurse
425 W 20TH ST, SUITE 5
NORFOLK, VA 23517
Norfolk City (757) 686-1756
DR. ETHEL MARLENE MILES D.D.S.
Dentist (General Practice)
425 W 20TH ST, SUITE 3
NORFOLK, VA 23517
Norfolk City (757) 622-4245
LOUISE B. LUBIN, PH.D. LTD
Clinic/Center (Adult Mental Health)
425 W 20TH ST, SUITE 5
NORFOLK, VA 23517
Norfolk City (757) 625-1020

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 Center, PLLC's NPI number?

The NPI number for Tidewater Dental Center, PLLC is 1275789950. It was assigned to this organization in the NPPES registry on August 13, 2008.

Where is Tidewater Dental Center, PLLC located?

Tidewater Dental Center, PLLC is located at 425 W 20th St 3, Norfolk, VA 23517. The listed phone number is (757) 622-4245.

What is Tidewater Dental Center, PLLC'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 Center, PLLC was last updated on August 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.