1. Home
  2. Directory
  3. Virginia
  4. Beach
  5. Clinic Center
  6. NPI Profile

TIDEWATER DENTAL STUDIO PLLC
NPI 1295621076
Clinic/Center - Dental in Virginia Beach, VA

Active since June 17, 2025
4867 BAXTER RD STE 101, VIRGINIA BEACH, VA 23462(757) 499-8139(757) 473-8816 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tidewater Dental Studio Pllc NPPES

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

TIDEWATER DENTAL STUDIO PLLC (NPI 1295621076), doing business as Tidewater Dental Studio, is a healthcare organization registered as a dental in Virginia Beach, Virginia and active in the NPI registry since June 2025. The organization lists Joanna Marie S. Acosta-sassoon, Owner, as its authorized official.

NPPES Registry Identity

NPI1295621076
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTIDEWATER DENTAL STUDIO PLLC
Location Address4867 BAXTER RD STE 101Virginia Beach, VA 23462-4469
Mailing Address4867 Baxter Rd Ste 101Virginia Beach, VA 23462-4469 · (757) 499-8139 · Fax (757) 473-8816
Phone(757) 499-8139
Fax(757) 473-8816
Organization SubpartNo
Authorized OfficialJoanna Marie S. Acosta-sassoonOwner · (757) 499-8139
Enumeration DateJune 17, 2025
NPPES CertifiedJune 16, 2025
✔ NPI 1295621076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4867 BAXTER RD STE 101, Virginia Beach, VA 23462
Open in Google Maps ↗

Other Names 1

Doing Business AsTidewater Dental Studio

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.

DR. JOANNA MARIE S. ACOSTA-SASSOON DDS
Dentist (General Practice)
4867 BAXTER RD STE 101
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 499-8139
DR. MUHANAD AWNI SALEM DMD
Dentist
4867 BAXTER RD STE 101
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 499-8139

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 Studio PLLC's NPI number?

The NPI number for Tidewater Dental Studio PLLC is 1295621076. It was assigned to this organization in the NPPES registry on June 17, 2025. The provider is doing business as Tidewater Dental Studio.

Where is Tidewater Dental Studio PLLC located?

Tidewater Dental Studio PLLC is located at 4867 Baxter Rd Ste 101, Virginia Beach, VA 23462. The listed phone number is (757) 499-8139.

What is Tidewater Dental Studio PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Tidewater Dental Studio PLLC was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.