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

Tidewater Dentistry, PA

Organization General Practice Dentistry · NPI 1306361092

Tidewater Dentistry, PA is a General Practice Dentistry in Summerville, South Carolina. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

502 N Pine St
Summerville, SC 29483-6555
Phone: (843) 871-5394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1306361092
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Williamson — President · (843) 873-1646
NPI enumeratedAugust 3, 2017
Last updated in NPPESJanuary 13, 2021
Certification dateJanuary 13, 2021
Mailing address503 N Pine St, Summerville, SC 29483-6554

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