SOUTHERN DELAWARE ASSOCIATES OF DENTAL SPECIALITIES
NPI 1952687360
Clinic/Center - Oral and Maxillofacial Surgery in Rehoboth Beach, DE

Q: What is Southern Delaware Associates Of Dental Specialities's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Active since October 30, 2011

19323 LIGHTHOUSE PLAZA BLVD, UNIT 4, REHOBOTH BEACH, DE 19971(215) 880-9919 Get Directions Write a Review

NPPES record last updated: October 30, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southern Delaware Associates Of Dental Specialities NPPES

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

SOUTHERN DELAWARE ASSOCIATES OF DENTAL SPECIALITIES (NPI 1952687360) is a healthcare organization registered as an oral and maxillofacial surgery in Rehoboth Beach, Delaware and active in the NPI registry since October 2011. The organization lists Otto Tidwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1952687360

Entity TypeOrganization

Primary Taxonomy261QS0112X

Legal Business NameSOUTHERN DELAWARE ASSOCIATES OF DENTAL SPECIALITIES

Location Address19323 LIGHTHOUSE PLAZA BLVD, UNIT 4Rehoboth Beach, DE 19971-6162

Mailing Address19323 Lighthouse Plaza Blvd, Unit 4Rehoboth Beach, DE 19971-6162 · (215) 880-9919

Phone(215) 880-9919

Organization SubpartNo

Authorized OfficialOtto TidwellOwner · (215) 880-9919

Enumeration DateOctober 30, 2011

✔ NPI 1952687360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities

Taxonomy Code261QS0112X

Definition

An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

19323 LIGHTHOUSE PLAZA BLVD, Rehoboth Beach, DE 19971

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Other Providers at the Same Location NPPES

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

DR. OTTO FREDERICK TIDWELL D.D.S.

Dentist (Oral and Maxillofacial Surgery)

19323 LIGHTHOUSE PLAZA BLVD, UNIT 4
REHOBOTH BEACH, DE 19971

Sussex County (302) 226-1606

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 Southern Delaware Associates Of Dental Specialities's NPI number?

The NPI number for Southern Delaware Associates Of Dental Specialities is 1952687360. It was assigned to this organization in the NPPES registry on October 30, 2011.

Where is Southern Delaware Associates Of Dental Specialities located?

Southern Delaware Associates Of Dental Specialities is located at 19323 Lighthouse Plaza Blvd Unit 4, Rehoboth Beach, DE 19971. The listed phone number is (215) 880-9919.

What is Southern Delaware Associates Of Dental Specialities's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Southern Delaware Associates Of Dental Specialities was last updated on October 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.