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TIDEWATER LLC
NPI 1437643384
Dentist - General Practice in Dunkirk, MD

Active since June 14, 2018
10113 WARD RD, DUNKIRK, MD 20754(301) 327-3314(301) 327-3315 Get Directions Write a Review

NPPES record last updated: June 14, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tidewater Llc NPPES

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

TIDEWATER LLC (NPI 1437643384) is a healthcare organization registered as a general practice in Dunkirk, Maryland and active in the NPI registry since June 2018. The organization lists David Cooper, Owner, as its authorized official.

NPPES Registry Identity

NPI1437643384
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIDEWATER LLC
Location Address10113 WARD RDDunkirk, MD 20754-2717
Mailing Address21534 Great Mills RdLexington Park, MD 20653-1204 · (301) 862-3900
Phone(301) 327-3314
Fax(301) 327-3315
Organization SubpartYesParent: Tidewater, Llc
Authorized OfficialDavid CooperOwner · (301) 862-3900
Enumeration DateJune 14, 2018
✔ NPI 1437643384 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.
10113 WARD RD, Dunkirk, MD 20754
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

LAKESHA NICOLE RICHARDSON DDS
Dentist (General Practice)
10113 WARD RD
DUNKIRK, MD 20754
Calvert County (252) 443-9097

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 LLC's NPI number?

The NPI number for Tidewater LLC is 1437643384. It was assigned to this organization in the NPPES registry on June 14, 2018.

Where is Tidewater LLC located?

Tidewater LLC is located at 10113 Ward Rd, Dunkirk, MD 20754. The listed phone number is (301) 327-3314.

What is Tidewater LLC'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 LLC was last updated on June 14, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.