OrganizationActive
Tidewater Dentistry, PA
NPI 1306361092 · General Practice Dentistry · Summerville, SC
Tidewater Dentistry, PA is a General Practice Dentistry organization in Summerville, SC (NPI 1306361092).
Provider details
- NPI number
- 1306361092
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- James Williamson, President(843) 873-1646
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
502 N Pine St
Summerville, SC 29483-6555
Phone: (843) 871-5394
Street-level locationGet directions
Mailing address
503 N Pine St
Summerville, SC 29483-6554
Registry dates
- Enumerated
- 2017-08-03
- Last updated
- 2021-01-13
- Certified
- 2021-01-13
Frequently asked questions
- What is Tidewater Dentistry, PA's NPI number?
- Tidewater Dentistry, PA's National Provider Identifier (NPI) is 1306361092, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Dentistry, PA?
- Tidewater Dentistry, PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Tidewater Dentistry, PA located?
- Tidewater Dentistry, PA's practice location on file with NPPES is 502 N Pine St, Summerville, SC 29483-6555.
- What is Tidewater Dentistry, PA's phone number?
- The practice phone number listed in the NPPES registry for Tidewater Dentistry, PA is (843) 871-5394.
- Who is the authorized official for Tidewater Dentistry, PA?
- The authorized official listed on Tidewater Dentistry, PA's NPPES record is James Williamson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Dentistry, PA's NPI active?
- Yes — Tidewater Dentistry, PA's NPI (1306361092) is active in the NPPES registry as of the last update on 2021-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.