Organization
TIDAL SMILES PEDIATRIC DENTISTRY PLLC
Active
Parent organization
TIDAL SMILES PEDIATRIC DENTISTRY, PLLC
Other names
D. Luke Winter DDS PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIDAL SMILES PEDIATRIC DENTISTRY, PLLC
Authorized official
DR. DANIEL LUKE WINTER DDS (OWNER)
(540) 327-6061
Entity
Organization
Contact information
Practice address
1755 CITY CENTER BLVD UNIT B-2, ELIZABETH CITY, NC 27909-8938
(252) 251-7900
Mailing address
816 EVELYN WAY, CHESAPEAKE, VA 23322-2488
(540) 327-6061
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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