Tidewater Dental and Assoc Inc
NPI 1184703803 · General Practice Dentistry · Lexington Park, MD
Tidewater Dental and Assoc Inc is a General Practice Dentistry organization in Lexington Park, MD (NPI 1184703803).
Provider details
- NPI number
- 1184703803
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Connie Mccabe, Financial Admin(301) 862-3900
- License
- MD13051 (MD)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Former legal business name
- David J Cooper Michael W Owens Hae Sook Kim
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2008-07-01
Frequently asked questions
- What is Tidewater Dental and Assoc Inc's NPI number?
- Tidewater Dental and Assoc Inc's National Provider Identifier (NPI) is 1184703803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Dental and Assoc Inc?
- Tidewater Dental and Assoc Inc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Tidewater Dental and Assoc Inc located?
- Tidewater Dental and Assoc Inc's practice location on file with NPPES is 21534 Great Mills Rd, Lexington Park, MD 20653.
- What is Tidewater Dental and Assoc Inc's phone number?
- The practice phone number listed in the NPPES registry for Tidewater Dental and Assoc Inc is (301) 862-3900.
- Who is the authorized official for Tidewater Dental and Assoc Inc?
- The authorized official listed on Tidewater Dental and Assoc Inc's NPPES record is Connie Mccabe, Financial Admin. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Dental and Assoc Inc's NPI active?
- Yes — Tidewater Dental and Assoc Inc's NPI (1184703803) is active in the NPPES registry as of the last update on 2008-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.