David J Cooper Michael W Owens Hae Sook Kim

LBN: Tidewater Dental And Assoc Inc
David J Cooper Michael W Owens Hae Sook Kim is an health care organization with primary practice located at 21534 Great Mills Rd , Lexington Park MD 20653. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Tidewater Dental And Assoc Inc can be contacted via phone (301) 862-3900, or through Mccabe, Connie M via phone (301) 862-3900.

Contact Information

Primary practice address
21534 Great Mills Rd Lexington Park MD 20653
Phone: (301) 862-3900
Fax: (301) 862-3779
Website:
Map and Directions
Authorized official contact:
Name: Mccabe, Connie M
Phone: (301) 862-3900

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X MD6466 Maryland
Dental Providers / General Practice 1223G0001X MD13051 Maryland
Dental Providers / General Practice 1223G0001X MD13931 Maryland

Profile Details

NPI number 1184703803
LBN Legal business name Tidewater Dental And Assoc Inc
DBA Doing business as David J Cooper Michael W Owens Hae Sook Kim
Authorized official Mccabe, Connie M
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2006
Last updated Jul 1st, 2008 - about 17 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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