TIDELANDS DENTAL ON GLENNS BAY LLC is a general practice dentist in Surfside Beach, SC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. TIDELANDS DENTAL ON GLENNS BAY LLC NPI is 1619507019. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1625 GLENNS BAY RD
SURFSIDE BEACH, SC
ZIP 29575-836
Phone: (843) 650-4500
Fax: (843) 650-4510
The provider's authorized official is Peter Jones .
The authorized official title is Business Manager and has the following contact phone number (603) 531-1001.
The CLIA number assigned to this NPI record is 42D2138622 - other - family medicine practice with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 1/24/2020 and was last updated on 1/24/2020.