| Tidewater LLC | |
|
14532 Solomons Island Rd S Solomons MD 20688-3206 | |
| (410) 394-6690 | |
| (410) 394-6693 |
| Full Name | Tidewater LLC |
|---|---|
| Speciality | Dentist |
| Location | 14532 Solomons Island Rd S, Solomons, Maryland |
| Authorized Official Name and Position | David Cooper (OWNER) |
| Authorized Official Contact | 3018623900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater LLC 21534 Great Mills Rd Lexington Park MD 20653-1204 Ph: (301) 862-3900 | Tidewater LLC 14532 Solomons Island Rd S Solomons MD 20688-3206 Ph: (410) 394-6690 |
| NPI Number | 1598278236 |
|---|---|
| Provider Enumeration Date | 11/15/2017 |
| Last Update Date | 11/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598278236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Maryland) | Primary |
Tidewater LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13350 H.g Trueman Road, Solomons, MD 20688 Phone: 410-326-4078 Fax: 410-326-9311 |
Island Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Creston Ln, Suite A, Solomons, MD 20688 Phone: 410-326-0800 Fax: 410-326-0802 |
Ashleigh Friend DDS LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Creston Ln, Solomons, MD 20688 Phone: 410-326-0800 |