| Tide Dental | |
|
1312 Airline Road Corpus Christi TX 78412 | |
| (361) 994-4867 | |
| (361) 994-1655 |
| Full Name | Tide Dental |
|---|---|
| Speciality | Dentist |
| Location | 1312 Airline Road, Corpus Christi, Texas |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tide Dental Po Box 734753 Dallas TX 75373-4753 Ph: (972) 869-3789 | Tide Dental 1312 Airline Road Corpus Christi TX 78412 Ph: (361) 994-4867 |
| NPI Number | 1720355381 |
|---|---|
| Provider Enumeration Date | 11/28/2011 |
| Last Update Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720355381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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