TIDEWATER DENTAL AND ASSOC INC is a general practice dentist in Lexington Park, MD. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. TIDEWATER DENTAL AND ASSOC INC NPI is 1184703803. The provider is registered as an organization entity type and is a multiple single specialty group. The provider Former Legal Business Name Is David J Cooper Michael W Owens Hae Sook Kim.
The provider's business location address is:
21534 GREAT MILLS RD LEXINGTON PARK, MD ZIP 20653 Phone: (301) 862-3900 Fax: (301) 862-3779
The provider's authorized official is Connie M Mccabe . The authorized official title is Financial Admin and has the following contact phone number (301) 862-3900.
The enumeration date for this NPI number is 11/3/2006 and was last updated on 7/1/2008.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
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