Individual provider · Type 1 NPI

John K. Tidwell, DDS

Oral and Maxillofacial Surgery (Dentist) · Seattle, WA

NPI number 1003906835 Active

Practice location

1801 NW Market St, Suite 108
Seattle, WA 98107-3987

Call (206) 783-9672 Map

Fax (206) 784-4812

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDE00006884 (WA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1003906835

John K. Tidwell, DDS's National Provider Identifier is 1003906835, issued on Oct 13, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Seattle, WA. The record was last updated on Oct 22, 2013.