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

Tidewater Dental Studio PLLC

Organization Dental Clinic/Center · NPI 1295621076

Tidewater Dental Studio PLLC is a Dental Clinic/Center in Virginia Beach, Virginia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4867 Baxter Rd Ste 101
Virginia Beach, VA 23462-4469
Phone: (757) 499-8139
Fax: (757) 473-8816
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1295621076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joanna Marie Acosta-Sassoon — Owner · (757) 499-8139
Other names Tidewater Dental Studio
NPI enumeratedJune 17, 2025
Last updated in NPPESJune 17, 2025
Certification dateJune 16, 2025
Mailing address4867 Baxter Rd Ste 101, Virginia Beach, VA 23462-4469

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