Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ERIC IVAN TIDWELL, DDS
Active Sole ProprietorDR. ERIC IVAN TIDWELL, DDS is a General Dentistry healthcare provider located in PROVO, Utah. NPI 1932131562 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · PROVO, UT
Registration Details
- NPI Number
- 1932131562
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2006 (20.063579045753 yrs)
- Last Updated
- Jul 8, 2007
- License
-
145165 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
777 N 500 W STE 101APROVO, UT, 846011594Browse UT providers · Browse ZIP 84601
- Phone
- 8013736362
- Fax
- 8013730115
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY A YOUNGQUIST | DDS | 1699746529 |
| DR. ADRIAN G. HUANG | DMD | 1902866114 |
| DR. ALBERT BAXTER CLARK | D.D.S. | 1477571677 |
| DR. QUINN J SCHIFFMAN | DDS | 1871506428 |
| DR. RANDALL CLIFFORD HOBBS | DDS | 1558477208 |
| MARK D. MCKELL | D.D.S. | 1629178728 |
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.