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

Tidewater Dental Pf

Organization Dentist · NPI 1053607002

Tidewater Dental Pf is a Dentist in Prince Frederick, Maryland. Licensed in Maryland. Registered with an NPI since 2011.

Licensed in
MD
In the registry since
2011
Specialties on file
2

Practice location Address checks out

690 Prince Frederick Blvd
Prince Frederick, MD 20678
Phone: (410) 414-8333
Fax: (301) 862-3779
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6466 (MD)
Dentist Taxonomy 122300000X · Licence 14501 (MD)

Record details

NPI number1053607002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Connie McCabe — Office Manager · (301) 862-3900
NPI enumeratedJune 28, 2011
Last updated in NPPESJune 28, 2011
Mailing address690 Prince Frederick Blvd, Prince Frederick, MD 20678

Other providers in Prince Frederick