Organization · Type 2 NPI

Tidal Smiles Pediatric Dentistry PLLC

Dental Clinic/Center · Elizabeth City, NC

NPI number 1003568072 Active

Practice location

1755 City Center Blvd Unit B-2
Elizabeth City, NC 27909-8938

Call (252) 251-7900 Map

Mailing address

816 Evelyn Way
Chesapeake, VA 23322-2488

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

NPI record

NPI: 1003568072
Entity type: Organization (Type 2)
Issued: Jan 21, 2022
Last updated: Jan 21, 2022
Status: Active
Subpart: Yes of Tidal Smiles Pediatric Dentistry, PLLC

Other names

D. Luke Winter DDS PLLC · doing business as

Authorized official

Dr. Daniel Luke Winter, DDS
Owner
(540) 327-6061

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About NPI 1003568072

Tidal Smiles Pediatric Dentistry PLLC's National Provider Identifier is 1003568072, issued on Jan 21, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Elizabeth City, NC. The record was last updated on Jan 21, 2022.