DR. ERIC TIDWELL, DDS
Dentist - General Practice
Active
Individual
NPI: 1932131562
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 145165 (UT) |
Frequently Asked Questions
NPI 1932131562 is the National Provider Identifier for DR. ERIC TIDWELL, DDS, a Dentist - General Practice provider located in Provo, UT. This NPI was enumerated on July 6, 2006.
DR. ERIC TIDWELL, DDS practices at 777 N 500 W STE 101A, Provo, UT 84601.
Quick Facts
- NPI
- 1932131562
- Type
- Individual
- Enumerated
- Jul 6, 2006
- Last Updated
- Jul 8, 2007
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