Tidewater Llc is a Dental Clinic in Lanham, Maryland. This organization is also known as sub part of Tidewater Llc. It is located at 2830 Campus Way N Ste 614, Lanham, MD and its contact number is 301-955-9198. The authorized person for Tidewater Llc is David Cooper
who is Owner of the clinic and their contact number is 301-862-3900.
Tidewater Llc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Tidewater Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Tidewater Llc |
| Specialization: | Dentistry |
| Clinic Address: | 2830 Campus Way N Ste 614, Lanham,
Maryland, 20706-1669 |
| Phone: | 301-955-9198 |
| Fax: | 301-955-9199 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | David Cooper |
| Position: | Owner |
| Contact Number: | 301-862-3900 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Tidewater Llc clinic are as mentioned below.
| NPI Number: | 1609366756 |
| Parent Organization: | Tidewater Llc |
| NPI Enumeration Date: | 15 May, 2018 |
| NPI Last Update On: | 15 May, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tidewater Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | | Maryland | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Tidewater Llc
21534 Great Mills Rd,
Lexington Park, Maryland |
| Zip: | 20653-1204 |
| Phone Number: | 301-862-3900 |
| Fax Number: | -- |
Patients can reach Tidewater Llc at
2830 Campus Way N Ste 614, Lanham, Maryland or can
call to book an appointment on 301-955-9198.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.