Individual provider · Type 1 NPI

Victoria Lane Tidwell, DMD

Dentist · Pensacola, FL

NPI number 1295179745 Active

Practice location

12385 Sorrento Rd Ste B1
Pensacola, FL 32507-8656

Mailing address

7885 Normandy Blvd
Jacksonville, FL 32221-6640

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN 20201 (FL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1295179745

Victoria Lane Tidwell, DMD's National Provider Identifier is 1295179745, issued on Apr 25, 2013. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Pensacola, FL. The record was last updated on Sep 18, 2018.