Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMIE RENEE TIDWELL, LDH
ActiveJAMIE RENEE TIDWELL, LDH is a Dental Hygienist healthcare provider located in CAYUGA, Indiana. NPI 1477049989 is currently active in the NPPES registry. Verify at CMS.
Dental Hygienist · CAYUGA, IN
Registration Details
- NPI Number
- 1477049989
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 9, 2018 (8.0970841779047 yrs)
- Last Updated
- Jul 9, 2018
- License
-
13005947A (IN)
Practice Information
- Address
-
703 W PARK STCAYUGA, IN, 479288207Browse IN providers · Browse ZIP 47928
- Phone
- 7654928099
- Fax
- 7654929048
- Primary Specialty
-
Dental Hygienist
124Q00000X
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.