DR. OTTO TIDWELL, D.D.S.

Dentist - Oral and Maxillofacial Surgery

Active Individual
NPI: 1407803398

Practice Address

19323 LIGHTHOUSE PLAZA BLVD
UNIT 4
Rehoboth Beach, DE 19971

Phone: (302) 226-1606

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Surgery 1223S0112X No 22DIO1475500 (NJ)

Frequently Asked Questions

NPI 1407803398 is the National Provider Identifier for DR. OTTO TIDWELL, D.D.S., a Dentist - Oral and Maxillofacial Surgery provider located in Rehoboth Beach, DE. This NPI was enumerated on May 27, 2006.
DR. OTTO TIDWELL, D.D.S. practices at 19323 LIGHTHOUSE PLAZA BLVD, UNIT 4, Rehoboth Beach, DE 19971.

Quick Facts

NPI
1407803398
Type
Individual
Enumerated
May 27, 2006
Last Updated
Jan 14, 2014

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