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TIDEWATER DENTISTRY, PA
NPI 1306361092
Dentist - General Practice in Summerville, SC

Active since August 03, 2017
502 N PINE ST, SUMMERVILLE, SC 29483(843) 871-5394 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 13, 2021, Aug 3, 2017 (2 updates tracked since 2017).

About Tidewater Dentistry, Pa NPPES

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

TIDEWATER DENTISTRY, PA (NPI 1306361092) is a healthcare organization registered as a general practice in Summerville, South Carolina and active in the NPI registry since August 2017. The organization lists James Reed Williamson, President, as its authorized official.

NPPES Registry Identity

NPI1306361092
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIDEWATER DENTISTRY, PA
Location Address502 N PINE STSummerville, SC 29483-6555
Mailing Address503 N Pine StSummerville, SC 29483-6554
Phone(843) 871-5394
Organization SubpartNo
Authorized OfficialJames Reed WilliamsonPresident · (843) 873-1646
Enumeration DateAugust 3, 2017
Last NPPES UpdateJanuary 13, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
✔ NPI 1306361092 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.
502 N PINE ST, Summerville, SC 29483
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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

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

REED WILLIAMSON, DMD, LLC
Dentist (General Practice)
502 N PINE ST
SUMMERVILLE, SC 29483
Berkeley County (843) 250-5213

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 Dentistry, PA's NPI number?

The NPI number for Tidewater Dentistry, PA is 1306361092. It was assigned to this organization in the NPPES registry on August 3, 2017.

Where is Tidewater Dentistry, PA located?

Tidewater Dentistry, PA is located at 502 N Pine St, Summerville, SC 29483. The listed phone number is (843) 871-5394.

What is Tidewater Dentistry, PA'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 Dentistry, PA was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.