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TIDEWATER DENTAL LUSBY
NPI 1386009405
Dentist in Lusby, MD

Active since December 16, 2015
10025 HG TRUEMAN ROAD, LUSBY, MD 20657(301) 862-3900 Get Directions Write a Review

NPPES record last updated: March 10, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Tidewater Dental Lusby NPPES

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

TIDEWATER DENTAL LUSBY (NPI 1386009405) is a healthcare organization registered as a dentist in Lusby, Maryland and active in the NPI registry since December 2015. The organization lists David Jack Cooper, Owner, as its authorized official.

NPPES Registry Identity

NPI1386009405
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLUSBY DENTAL LLC
Location Address10025 HG TRUEMAN ROADLusby, MD 20657
Mailing Address10025 Hg Trueman RdLusby, MD 20657-2868 · (410) 326-4078 · Fax (410) 326-9311
Phone(301) 862-3900
Organization SubpartNo
Authorized OfficialDavid Jack CooperOwner · (410) 326-4078
Enumeration DateDecember 16, 2015
Last NPPES UpdateMarch 10, 2016
✔ NPI 1386009405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
10025 HG TRUEMAN ROAD, Lusby, MD 20657
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Other Names 1

Doing Business AsTidewater Dental Lusby

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

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 Lusby Dental LLC's NPI number?

The NPI number for Lusby Dental LLC is 1386009405. It was assigned to this organization in the NPPES registry on December 16, 2015. The provider is doing business as Tidewater Dental Lusby.

Where is Lusby Dental LLC located?

Lusby Dental LLC is located at 10025 Hg Trueman Road, Lusby, MD 20657. The listed phone number is (301) 862-3900.

What is Lusby Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Lusby Dental LLC was last updated on March 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.