Tidal Smiles Pediatric Dentistry Pllc

LBN: Tidal Smiles Pediatric Dentistry Pllc
Tidal Smiles Pediatric Dentistry Pllc is an health care organization with primary practice located at 350 Johnstown Rd Ste C , Chesapeake VA 23322-5365. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Tidal Smiles Pediatric Dentistry Pllc can be contacted via phone (757) 482-4777, or through Winter, Daniel Luke via phone (757) 482-4777.

Contact Information

Primary practice address
350 Johnstown Rd Ste C Chesapeake VA 23322-5365
Phone: (757) 482-4777
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Winter, Daniel Luke Doctor of Dental Surgery (DDS)
Phone: (757) 482-4777

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1548782873
LBN Legal business name Tidal Smiles Pediatric Dentistry Pllc
DBA Doing business as
Authorized official Winter, Daniel Luke Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2017
Last updated Jul 21st, 2022 - about 3 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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