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

DR. STEVEN DAVID TIDWELL, DDS

Active Sole Proprietor

DR. STEVEN DAVID TIDWELL, DDS is a Dentist healthcare provider located in JEROME, Idaho. NPI 1801001987 is currently active in the NPPES registry. Verify at CMS.

Dentist · JEROME, ID

Registration Details

NPI Number
1801001987
Provider Type
Individual
Gender
Male
NPI Issued
May 11, 2007 (19.234949201472 yrs)
Last Updated
Apr 24, 2025
Licenses
29502 (CA)
5242 (ID)
Sole Proprietor
Yes

Practice Information

Address
218 W NEZ PERCE
JEROME, ID, 833385077
Browse ID providers · Browse ZIP 83338
Phone
2083243471
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.