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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOEL RAY TIDWELL, DDS

Active

DR. JOEL RAY TIDWELL, DDS is a Dentist healthcare provider located in DOUGLASVILLE, Georgia. NPI 1386790848 is currently active in the NPPES registry. Verify at CMS.

Dentist · DOUGLASVILLE, GA

Registration Details

NPI Number
1386790848
Provider Type
Individual
Gender
Male
NPI Issued
Jan 26, 2007 (19.523176514455 yrs)
Last Updated
Dec 15, 2022
License
DN009481 (GA)

Practice Information

Address
5897 STEWART PKWY
DOUGLASVILLE, GA, 301352373
Browse GA providers · Browse ZIP 30135
Phone
7709491821
Fax
7709422837
Primary Specialty
Dentist
122300000X

Other Dentist Providers in DOUGLASVILLE, GA

Name Credential NPI
DR. DENESE SHELTON DDS 1720181712
JACQUES R. WILLIAMS DDS 1982784997
DR. DIMITRIOS ARFANAKIS D.M.D. 1962556357
DR. JIM GILL WILLIAMS DMD 1225157100
DR. TY G JAMES DMD 1114140472
DR. JOSHUA REED MCINTIRE D.M.D. 1679784938
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.