| Tidewater Llc | |
|
700 Prince Frederick Blvd Prince Frederick MD 20678-3141 | |
| (410) 414-8333 | |
| (240) 652-8797 |
| Full Name | Tidewater Llc |
|---|---|
| Speciality | Dentist |
| Location | 700 Prince Frederick Blvd, Prince Frederick, Maryland |
| Authorized Official Name and Position | David Cooper (OWNER) |
| Authorized Official Contact | 3018623900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Llc 21534 Great Mills Rd Lexington Park MD 20653-1204 Ph: (301) 862-3900 | Tidewater Llc 700 Prince Frederick Blvd Prince Frederick MD 20678-3141 Ph: (410) 414-8333 |
| NPI Number | 1306359054 |
|---|---|
| Provider Enumeration Date | 11/15/2017 |
| Last Update Date | 11/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306359054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Maryland) | Primary |
Tidewater Dental Pf Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 690 Prince Frederick Blvd, Prince Frederick, MD 20678 Phone: 410-414-8333 Fax: 301-862-3779 | |
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Nicholson Endodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 995 Prince Frederick Blvd Ste 107, Prince Frederick, MD 20678 Phone: 443-684-2016 | |
Calvert Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 284 Merrimac Ct, Prince Frederick, MD 20678 Phone: 410-535-2011 | |
Meraj Dental Spa, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 995 North Prince Frederick Blvd, Suite #108, Prince Frederick, MD 20678 Phone: 410-414-2199 | |
Jim Lee, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 690 Prince Frederick Blvd, Prince Frederick, MD 20678 Phone: 202-423-8867 |