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

Tidewater LLC

Organization Dentist · NPI 1518470251

Tidewater LLC is a Dentist in Lexington Park, Maryland. Licensed in Maryland. Registered with an NPI since 2017.

Licensed in
MD
In the registry since
2017
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

21534 Great Mills Rd
Lexington Park, MD 20653-1204
Phone: (301) 862-3900
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 (MD)

Record details

NPI number1518470251
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Cooper — Owner · (301) 862-3900
NPI enumeratedNovember 15, 2017
Last updated in NPPESNovember 15, 2017
Mailing address21534 Great Mills Rd, Lexington Park, MD 20653-1204

Other providers in Lexington Park