Organization · Type 2 NPI
Tidewater LLC
General Practice Dentistry · Charlotte Hall, MD
NPI number
1144884560
Active
Practice location
30320 Triangle Dr
Charlotte Hall, MD 20622-4109
Fax (301) 359-1719
Mailing address
21534 Great Mills Rd
Lexington Park, MD 20653-1204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | None listed |
General Practice Dentistry: 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.
Other general practice dentistry providers in Charlotte Hall
About NPI 1144884560
Tidewater LLC's National Provider Identifier is 1144884560, issued on May 1, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Charlotte Hall, MD. The record was last updated on May 2, 2023.