Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TOM RICHARD LIDAHL, D.M.D.
ActiveTOM RICHARD LIDAHL, D.M.D. is a Dentist healthcare provider located in PLENTYWOOD, Montana. NPI 1720081201 is currently active in the NPPES registry. Verify at CMS.
Dentist · PLENTYWOOD, MT
Registration Details
- NPI Number
- 1720081201
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2005 (21.197376422676 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
1327 (MT)D10463 (MN)
Practice Information
- Address
-
223 N MAIN STPLENTYWOOD, MT, 592541843Browse MT providers · Browse ZIP 59254
- Phone
- 4067652700
- Fax
- 4067651514
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
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.