Eric Ivan Tidwell, DDS
General Practice Dentistry · Provo, UT
Practice location
777 N 500 W Ste 101aProvo, UT 84601-1594
- Phone
- (801) 373-6362
- Fax
- (801) 373-0115
NPI record
- NPI
- 1932131562
- Entity type
- Individual (Type 1)
- Enumeration date
- July 6, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
145165 | UT |
About Dr. Tidwell
Eric Ivan Tidwell, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 777 N 500 W Ste 101a, Provo, UT 84601-1594. The NPI number 1932131562 was assigned on July 6, 2006 and the record was last updated on July 8, 2007.
Dr. Tidwell lists a license in the registry: #145165 (UT) 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 Eric Ivan Tidwell, DDS?
The NPI number is 1932131562.
What is the phone number of Dr. Tidwell?
The phone number listed for the practice location is (801) 373-6362.
Where is Dr. Tidwell located?
777 N 500 W Ste 101a, Provo, UT 84601-1594.
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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