TIDEWATER LLC
Dentist

Address: 13350 H.g Trueman Road, Solomons, MD 20688

TIDEWATER LLC (NPI# 1407369143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407369143
Entity Type Organization
Organization Name TIDEWATER LLC
Practice Address 13350 H.g Trueman Road
Solomons
MD 20688
Practice Telephone 4103264078
Practice Fax Number 4103269311
Mailing Address 21534 Great Mills Rd
Lexington Park
MD 20653-1204
Mailing Telephone 3018623900
Mailing Fax Number 3018623779
Certification Date 11/23/2020
Enumeration Date 11/15/2017
Last Update Date 11/23/2020
Authorized Official Telephone 3018623900
Authorized Official Credential DDS
Is Organization Subpart Y
Parent Organization Name TIDEWATER LLC

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 122300000X Dentist 193200000X MULTI-SPECIALTY GROUP MD Dental Providers

Other providers with the same name

NPI Name Taxonomy Address Enumeration
1144884560 Tidewater LLC 30320 Triangle Dr, Charlotte Hall, MD 20622-4109 2019-05-01
1437643384 Tidewater LLC 10113 Ward Rd, Dunkirk, MD 20754-2717 2018-06-14
1306359054 Tidewater LLC 700 Prince Frederick Blvd, Prince Frederick, MD 20678-3141 2017-11-15
1598278236 Tidewater LLC 14532 Solomons Island Rd S, Solomons, MD 20688-3206 2017-11-15
1609366756 Tidewater LLC 2830 Campus Way N Ste 614, Lanham, MD 20706-1669 2018-05-15
1235642984 Tidewater LLC 21534 Great Mills Rd, Lexington Park, MD 20653-1204 2017-11-15
1518470251 Tidewater LLC 21534 Great Mills Rd, Lexington Park, MD 20653-1204 2017-11-15

Office Location

Street Address 13350 H.G TRUEMAN ROAD
City SOLOMONS
State MD
Zip Code 20688

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1740754001 Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery 14090 Hg Trueman Rd Ste 1100, Solomons, MD 20688 2019-01-18
1568982981 Jordan Clinton King Chiropractor 14350 Solomos Island Road, Suite #103a, Solomons, MD 20688 2017-06-27
1770027260 Southern Maryland Myofascial Release, Inc. Physical Therapist · Orthopedic 90 Holiday Drive, Suite C and D1, Solomons, MD 20688 2016-12-19
1003262171 Bernice Burroughs Massage Therapist 90 Holiday Drive, Suite D3, Solomons, MD 20688 2016-05-09
1780001982 Kathleen Arban · Kathleen Sullivan Social Worker · Clinical 14350 Solomons Island Rd. Suite 202, Solomons, MD 20688 2014-03-25
1902175599 Anne Dennen Etzkorn Dentist 14532 Solomons Island Rd, Solomons, MD 20688 2011-12-28
1851532204 L. Steven Berns, Lcsw-C, Ltd Social Worker · Clinical The Avondale Center, Suite 1244, Solomons, MD 20688 2009-03-16
1285879759 Joyce Gradle Counselor · Mental Health 14350 Solomons Island Rd., Solomons, MD 20688 2008-12-11
1295998086 Kathleen Mary Durand Occupational Therapist 13325 Dowell Road, Solomon, MP 20688 2008-07-02
1356510713 The Training Room Inc Durable Medical Equipment & Medical Supplies 14090 H G Trueman Rd, Solomons, MD 20688 2008-02-29
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598278236 Tidewater LLC 14532 Solomons Island Rd S, Solomons, MD 20688-3206 2017-11-15
1902175599 Anne Dennen Etzkorn 14532 Solomons Island Rd, Solomons, MD 20688 2011-12-28
1598862401 Wayne Lance Oroark 14532 Solomons Island Road, Solomons, MD 20688 2006-09-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124612254 Bestie Life, LLC 12672 Legacy Dr, Dunkirk, MD 20754-2814 2021-03-01
1235721903 Ulery Dental and Orthodontics 7067 Baltimore Annapolis Blvd, Glen Burnie, MD 21061-1416 2021-02-04
1952993628 Ulery Dental and Orthodontics 1171 Merritt Blvd, Dundalk, MD 21222-1438 2021-02-04
1003406992 Neighbor Dental LLC 8383 Cherry Ln, Laurel, MD 20707-4832 2021-01-25
1013515840 R3 Dental Group LLC 100 Lakeforest Blvd Ste 620, Gaithersburg, MD 20877-6203 2020-10-14
1255948048 Highlandtown Dental Group, LLC 3715 Eastern Ave, Baltimore, MD 21224-4208 2020-09-25
1356958292 Dentists of Silver Spring, LLC · Dentists of Silver Spring 1286 E West Hwy, Silver Spring, MD 20910-3242 2020-09-24
1982210423 Kevin Wang 1057 W Perimeter Rd, Prince County, MD 20762 2020-09-21
1720692262 Amanda Amaro 9408 Bruce Dr, Silver Spring, MD 20901-4812 2020-09-02
1790396927 Kyle Westbrook 614 Eastern Shore Dr Ste D, Salisbury, MD 21804-5940 2020-08-12
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Competitor

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City SOLOMONS
Zip Code 20688

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.