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

MICHAEL TIDWELL, DMD

Active

MICHAEL TIDWELL, DMD is a General Dentistry healthcare provider located in DAYTONA BEACH, Florida. NPI 1518954924 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · DAYTONA BEACH, FL

Registration Details

NPI Number
1518954924
Provider Type
Individual
Gender
Male
NPI Issued
Sep 30, 2005 (20.850321364527 yrs)
Last Updated
Jul 8, 2007
License
DN0007338 (FL)

Practice Information

Address
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL, 321142733
Browse FL providers · Browse ZIP 32114
Phone
3862383280
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in DAYTONA BEACH, FL

Name Credential NPI
SCOTT GRANDE DDS 1982691507
DR. DANNY C. PARRISH DMD 1851351993
DR. DAVID K KLOKOW DDS, PA 1376589788
DR. JAMES LESLIE MONAHAN D.D.S. 1255350146
DR. CHARLES A HARRELL DDS 1538173620
JEAN CHANG-LOWE D.D.S. 1639288491
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.