TIDEWATER DENTAL SOLOMONS ISLAND, LLC
NPI 1982006888
Dentist - General Practice in Solomons Island, MD

Active since September 23, 2014
14532 SOLOMONS ISLAND ROAD, SOLOMONS ISLAND, MD 20688(301) 862-3900 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tidewater Dental Solomons Island, Llc NPPES

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

TIDEWATER DENTAL SOLOMONS ISLAND, LLC (NPI 1982006888) is a healthcare organization registered as a general practice in Solomons Island, Maryland and active in the NPI registry since September 2014. The organization lists David Jack Cooper, Owner, as its authorized official.

NPPES Registry Identity

NPI1982006888
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIDEWATER DENTAL SOLOMONS ISLAND, LLC
Location Address14532 SOLOMONS ISLAND ROADSolomons Island, MD 20688
Mailing Address21534 Great Mills RdLexington Park, MD 20653-1204 · (301) 862-3900
Organization SubpartNo
Authorized OfficialDavid Jack CooperOwner · (301) 862-3900
Enumeration DateSeptember 23, 2014
NPI 1982006888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MD · MD6466
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.

14532 SOLOMONS ISLAND ROAD, Solomons Island, MD 20688

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.

Dentist (General Practice)
14532 SOLOMONS ISLAND ROAD
SOLOMONS, MD 20688

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982006888, enumerated as an "organization" on September 23, 2014.

The provider is located at 14532 SOLOMONS ISLAND ROAD SOLOMONS ISLAND, MD 20688 and the phone number is (301) 862-3900.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.