| Tidal Smiles Pediatric Dentistry Pllc | |
|
1755 City Center Blvd Unit B-2 Elizabeth City NC 27909-8938 | |
| (252) 251-7900 | |
| Not Available |
| Full Name | Tidal Smiles Pediatric Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1755 City Center Blvd Unit B-2, Elizabeth City, North Carolina |
| Authorized Official Name and Position | Daniel Luke Winter (OWNER) |
| Authorized Official Contact | 5403276061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidal Smiles Pediatric Dentistry Pllc 816 Evelyn Way Chesapeake VA 23322-2488 Ph: (540) 327-6061 | Tidal Smiles Pediatric Dentistry Pllc 1755 City Center Blvd Unit B-2 Elizabeth City NC 27909-8938 Ph: (252) 251-7900 |
| NPI Number | 1003568072 |
|---|---|
| Provider Enumeration Date | 01/21/2022 |
| Last Update Date | 01/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003568072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Thompson & Gray, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Halstead Blvd, Elizabeth City, NC 27909 Phone: 252-335-4341 | |
Dental Transformations Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 E Colonial Ave, Elizabeth City, NC 27909 Phone: 252-335-4341 | |
Leslie Treherne-fayton Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3875 Conlon Way Ste A, Elizabeth City, NC 27909 Phone: 315-454-6000 | |
Arhs - Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Roanoke Ave, Elizabeth City, NC 27909 Phone: 252-338-4404 | |
Scott C Blanchard Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N Water St, Elizabeth City, NC 27909 Phone: 252-335-4332 Fax: 252-335-2783 | |
East Carolina University School Of Dental Medicine,cslc Elizabeth City Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1161 N Road Street, Elizabeth City, NC 27909 Phone: 252-331-7225 Fax: 252-331-7223 |