OrganizationActive
Tidal Smiles Pediatric Dentistry PLLC
NPI 1003568072 · Dental Clinic/Center · Elizabeth City, NC
Provider details
- NPI number
- 1003568072
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Tidal Smiles Pediatric Dentistry, PLLC
- Organization subpart
- Yes
- Authorized official
- Daniel Winter, Owner(540) 327-6061
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1755 City Center Blvd Unit B-2
Elizabeth City, NC 27909-8938
Phone: (252) 251-7900
Approximate (ZIP-level) locationGet directions
Mailing address
816 Evelyn Way
Chesapeake, VA 23322-2488
Other names (DBA / former)
- Doing business as
- D. Luke Winter DDS PLLC
Registry dates
- Enumerated
- 2022-01-21
- Last updated
- 2022-01-21
- Certified
- 2022-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.