Organization
TIDEWATER FAMILY DENTISTRY
Active
Parent organization
ATLANTIC DENTAL CARE, PLC
Other names
a division of Atlantic Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATLANTIC DENTAL CARE, PLC
Authorized official
KAYLA REYNOLDS (PRACTICE MANAGER)
(757) 874-6712
Entity
Organization
Contact information
Practice address
12725 PATRICK HENRY DR, NEWPORT NEWS, VA 23602
(757) 874-6712
(757) 886-1319
Mailing address
12725 PATRICK HENRY DR, NEWPORT NEWS, VA 23602
(757) 874-6712
(757) 886-1319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411110
VA
Other
Enumeration date
10/28/2014
Last updated
03/11/2026
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