Tidelands Dental on Glenns Bay LLC
NPI 1619507019 · General Practice Dentistry · Surfside Beach, SC
Tidelands Dental on Glenns Bay LLC is a General Practice Dentistry organization in Surfside Beach, SC (NPI 1619507019).
Provider details
- NPI number
- 1619507019
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Peter Jones, Business Manager(603) 531-1001
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Registry dates
- Enumerated
- 2020-01-24
- Last updated
- 2020-01-24
- Certified
- 2020-01-24
Frequently asked questions
- What is Tidelands Dental on Glenns Bay LLC's NPI number?
- Tidelands Dental on Glenns Bay LLC's National Provider Identifier (NPI) is 1619507019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidelands Dental on Glenns Bay LLC?
- Tidelands Dental on Glenns Bay LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Tidelands Dental on Glenns Bay LLC located?
- Tidelands Dental on Glenns Bay LLC's practice location on file with NPPES is 1625 Glenns Bay Rd, Surfside Beach, SC 29575-4836.
- What is Tidelands Dental on Glenns Bay LLC's phone number?
- The practice phone number listed in the NPPES registry for Tidelands Dental on Glenns Bay LLC is (843) 650-4500.
- Who is the authorized official for Tidelands Dental on Glenns Bay LLC?
- The authorized official listed on Tidelands Dental on Glenns Bay LLC's NPPES record is Peter Jones, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidelands Dental on Glenns Bay LLC's NPI active?
- Yes — Tidelands Dental on Glenns Bay LLC's NPI (1619507019) is active in the NPPES registry as of the last update on 2020-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.