DR. BILL TIDWELL, DDS

Dentist - General Practice

Active Individual
NPI: 1053391797

Practice Address

CORNER OF ROUTE N12 AND N7
Fort Defiance, AZ 86504

Phone: (928) 729-8000

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 6993 (KS)

Frequently Asked Questions

NPI 1053391797 is the National Provider Identifier for DR. BILL TIDWELL, DDS, a Dentist - General Practice provider located in Fort Defiance, AZ. This NPI was enumerated on January 19, 2006.
DR. BILL TIDWELL, DDS practices at CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504.

Quick Facts

NPI
1053391797
Type
Individual
Enumerated
Jan 19, 2006
Last Updated
Oct 18, 2019

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