Brian Dale Tidwell, DDS

General Practice Dentistry · Albany, OR

Individual Active NPI

NPI number 1447418215

Practice location

2825 Willetta St SW Ste a
Albany, OR 97321-3846
Phone
(541) 928-2301
Fax
(541) 928-8493

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NPI record

NPI
1447418215
Entity type
Individual (Type 1)
Enumeration date
May 29, 2008
Last updated
May 29, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D9084 OR

About Dr. Tidwell

Brian Dale Tidwell, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2825 Willetta St SW Ste a, Albany, OR 97321-3846. The NPI number 1447418215 was assigned on May 29, 2008 and the record was last updated on May 29, 2008.

Dr. Tidwell lists a license in the registry: #D9084 (OR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian Dale Tidwell, DDS?

The NPI number is 1447418215.

What is the phone number of Dr. Tidwell?

The phone number listed for the practice location is (541) 928-2301.

Where is Dr. Tidwell located?

2825 Willetta St SW Ste a, Albany, OR 97321-3846.

What is the taxonomy code for Dr. Tidwell?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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