Tidewater Llc

LBN: Tidewater Llc
Tidewater Llc is an health care organization with primary practice located at 700 Prince Frederick Blvd , Prince Frederick MD 20678-3141. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Tidewater Llc can be contacted via phone (410) 414-8333, or through Cooper, David via phone (301) 862-3900.

Contact Information

Primary practice address
700 Prince Frederick Blvd Prince Frederick MD 20678-3141
Phone: (410) 414-8333
Fax: (240) 652-8797
Website:
Map and Directions
Authorized official contact:
Name: Cooper, David Doctor of Dental Surgery (DDS)
Phone: (301) 862-3900

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Maryland

Profile Details

NPI number 1306359054
LBN Legal business name Tidewater Llc
DBA Doing business as
Authorized official Cooper, David Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 15th, 2017
Last updated Nov 15th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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