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

Tidewater Dental Sleep Therapy LLC

Organization Dentist · NPI 1659657799

Tidewater Dental Sleep Therapy LLC is a Dentist in Lexington Park, Maryland. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21534 Great Mills Rd
Lexington Park, MD 20653-1204
Phone: (301) 862-3900
Fax: (866) 241-5211
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X
Customized Equipment (DME) Taxonomy 332BC3200X

Record details

NPI number1659657799
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Cooper — Owner · (301) 862-3900
NPI enumeratedNovember 2, 2011
Last updated in NPPESNovember 2, 2011
Mailing address21534 Great Mills Rd, Lexington Park, MD 20653-1204

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