Individual provider · Type 1 NPI

Jamie Renee Tidwell, LDH

Dental Hygienist · Clinton, IN

NPI number 1477049989 Active

Practice location

1792 E State Road 163
Clinton, IN 47842-7327

Fax (765) 828-3243

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X13005947A (IN)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1477049989

Jamie Renee Tidwell, LDH's National Provider Identifier is 1477049989, issued on Jul 9, 2018. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Clinton, IN. The record was last updated on May 20, 2026.