Organization · Type 2 NPI

Tidewater Dentistry, PA

General Practice Dentistry · Summerville, SC

NPI number 1306361092 Active

About NPI 1306361092

Tidewater Dentistry, PA's National Provider Identifier is 1306361092, issued on Aug 3, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Summerville, SC. The record was last updated on Jan 13, 2021.