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DR. AUSTIN TIDWELL DMD NPI 1265059091


NPI Information

NPI: 1265059091
Provider Name: DR. AUSTIN TIDWELL, DMD
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
1082N N NORTHCOUNTY BLVD
PLEASANT GROVE, UT
ZIP 84062
Phone: (801) 756-6048
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DR. Austin Tidwell, DMD is a pediatric dentistry dentist in Pleasant Grove, UT. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Austin Tidwell, DMD NPI is 1265059091. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1082N N NORTHCOUNTY BLVD
PLEASANT GROVE, UT
ZIP 84062-400
Phone: (801) 756-6048

The enumeration date for this NPI number is 6/27/2020 and was last updated on 6/28/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist7421NEVADANo
21223G0001XDentistGeneral PracticeLL-538-20NEVADANo
31223P0221XDentistPediatric Dentistry12772511-9922UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.