Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidelands Dental on Glenns Bay LLC

Organization General Practice Dentistry · NPI 1619507019

Tidelands Dental on Glenns Bay LLC is a General Practice Dentistry in Surfside Beach, South Carolina. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1625 Glenns Bay Rd
Surfside Beach, SC 29575-4836
Phone: (843) 650-4500
Fax: (843) 650-4510
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1619507019
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Jones — Business Manager · (603) 531-1001
NPI enumeratedJanuary 24, 2020
Last updated in NPPESJanuary 24, 2020
Certification dateJanuary 24, 2020
Mailing address3577 Marion Ln, Murrells Inlet, SC 29576-6012

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