Tidal Smiles Pediatric Dentistry Pllc
NPI #1003568072 in Elizabeth City, North Carolina
Provider Information
- NPI Number
- 1003568072
- Entity Type
- Organization
- Organization Name
- Tidal Smiles Pediatric Dentistry Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TIDAL SMILES PEDIATRIC DENTISTRY, PLLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 21, 2022
- Last Updated
- Jan 21, 2022
Practice Location
- Address
- 1755 CITY CENTER BLVD UNIT B-2
- City
- Elizabeth City
- State
- North Carolina
- ZIP Code
- 27909-8938
- Phone
- (252) 251-7900
Authorized Official
- Name
- DR. DANIEL LUKE WINTER, DDS
- Title
- OWNER
- Phone
- (540) 327-6061
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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