Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BILL SHAYNE TIDWELL, DDS
Active Sole ProprietorDR. BILL SHAYNE TIDWELL, DDS is a General Dentistry healthcare provider located in FORT DEFIANCE, Arizona. NPI 1053391797 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FORT DEFIANCE, AZ
Registration Details
- NPI Number
- 1053391797
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2006 (20.548060578625 yrs)
- Last Updated
- Oct 18, 2019
- Licenses
-
117592 (AK)7367 (CO)14581 (TX)6993 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
CORNER OF ROUTE N12 AND N7FORT DEFIANCE, AZ, 865040589Browse AZ providers · Browse ZIP 86504
- Phone
- 9287298000
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
- Additional Specialty
- General Dentistry
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in FORT DEFIANCE, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. DEXTER P INNISS | D.M.D | 1629146469 |
| DAVID ALLEN FLEMING | DDS | 1720121734 |
| DR. LELAND JAMES POND JR. | D.M.D | 1710110515 |
| DR. CHRISTINE A RIZKALLA | DMD | 1518308584 |
| DR. ETHAN D CHASE | DMD | 1720479892 |
| DANIEL STRATTON HULTGREN | — | 1821518275 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.