TIDAL SMILES PEDIATRIC DENTISTRY PLLC
NPI 1548782873
Dentist - Pediatric Dentistry in Chesapeake, VA

Active since July 07, 2017
350 JOHNSTOWN RD STE C, CHESAPEAKE, VA 23322(757) 482-4777 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jul 7, 2017 (2 updates tracked since 2017).

About Tidal Smiles Pediatric Dentistry Pllc NPPES

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

TIDAL SMILES PEDIATRIC DENTISTRY PLLC (NPI 1548782873) is a healthcare organization registered as a pediatric dentistry in Chesapeake, Virginia and active in the NPI registry since July 2017. The organization lists Daniel Luke Winter, Pediatric Dentist, Owner, as its authorized official.

NPPES Registry Identity

NPI1548782873
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTIDAL SMILES PEDIATRIC DENTISTRY PLLC
Location Address350 JOHNSTOWN RD STE CChesapeake, VA 23322-5365
Mailing Address350 Johnstown Rd Ste CChesapeake, VA 23322-5365 · (757) 482-4777
Organization SubpartNo
Authorized OfficialDaniel Luke WinterPediatric Dentist, Owner · (757) 482-4777
Enumeration DateJuly 7, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1548782873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
350 JOHNSTOWN RD STE C, Chesapeake, VA 23322

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 2

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

Dentist (Pediatric Dentistry)
350 JOHNSTOWN RD STE C
CHESAPEAKE, VA 23322
Dentist (Pediatric Dentistry)
350 JOHNSTOWN RD STE C
CHESAPEAKE, VA 23322

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 Tidal Smiles Pediatric Dentistry PLLC's NPI number?

The NPI number for Tidal Smiles Pediatric Dentistry PLLC is 1548782873. It was assigned to this organization in the NPPES registry on July 7, 2017.

Where is Tidal Smiles Pediatric Dentistry PLLC located?

Tidal Smiles Pediatric Dentistry PLLC is located at 350 Johnstown Rd Ste C, Chesapeake, VA 23322. The listed phone number is (757) 482-4777.

What is Tidal Smiles Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Tidal Smiles Pediatric Dentistry PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.