| Tidal Smiles Pediatric Dentistry Pllc | |
|
350 Johnstown Rd Ste C Chesapeake VA 23322-5365 | |
| (757) 482-4777 | |
| Not Available |
| Full Name | Tidal Smiles Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 350 Johnstown Rd Ste C, Chesapeake, Virginia |
| Authorized Official Name and Position | Daniel Luke Winter (PEDIATRIC DENTIST, OWNER) |
| Authorized Official Contact | 7574824777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidal Smiles Pediatric Dentistry Pllc 350 Johnstown Rd Ste C Chesapeake VA 23322-5365 Ph: (757) 482-4777 | Tidal Smiles Pediatric Dentistry Pllc 350 Johnstown Rd Ste C Chesapeake VA 23322-5365 Ph: (757) 482-4777 |
| NPI Number | 1548782873 |
|---|---|
| Provider Enumeration Date | 07/07/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548782873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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