DR. Eric Ivan Tidwell, DDS is a general practice dentist in Provo, UT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Eric Ivan Tidwell, DDS NPI is 1932131562. 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:
777 N 500 W STE 101A
PROVO, UT
ZIP 84601-594
Phone: (801) 373-6362
Fax: (801) 373-0115
The enumeration date for this NPI number is 7/6/2006 and was last updated on 7/8/2007.