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Tidewater Dental and Assoc Inc

General Practice Dentistry in Lexington Park, MD · enumerated 2006 · authorized official Connie Mccabe, Financial Admin.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184703803

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Registry record

Entity type Organization (Type 2)
Legal business name Tidewater Dental and Assoc Inc
Other name <Unavail>
Practice address 21534 Great Mills Rd, Lexington Park, MD, 20653
Phone (301) 862-3900
Fax (301) 862-3779
Enumeration date Nov 3, 2006
Last updated in NPPES Jul 1, 2008

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License MD6466 (MD) Primary
1223G0001X General Practice Dentistry Dental Providers · License MD13051 (MD) Secondary
1223G0001X General Practice Dentistry Dental Providers · License MD13931 (MD) Secondary

Authorized official

Name Connie Mccabe
Title Financial Admin
Phone (301) 862-3900

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-07-01. Verify at npiregistry.cms.hhs.gov.
Where is Tidewater Dental and Assoc Inc located?
The practice location on file with NPPES is in Lexington Park, MD.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-01.