Individual provider · Type 1 NPI
Brian Dale Tidwell, DDS
General Practice Dentistry · Albany, OR
NPI number
1447418215
Active
Practice location
2825 Willetta St SW Ste A
Albany, OR 97321-3846
Fax (541) 928-8493
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D9084 (OR) |
General Practice Dentistry: 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.
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About NPI 1447418215
Brian Dale Tidwell, DDS's National Provider Identifier is 1447418215, issued on May 29, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Albany, OR. The record was last updated on May 29, 2008.