Individual provider · Type 1 NPI

Gregg Carrington Tidwell, DDS

General Practice Dentistry · Monroe, LA

NPI number 1639223043 Active

Practice location

1512 Royal Ave
Monroe, LA 71201-5610

Call (318) 387-5400 Map

Fax (318) 387-5440

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3793 (LA)

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 1639223043

Gregg Carrington Tidwell, DDS's National Provider Identifier is 1639223043, issued on Jan 23, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Monroe, LA. The record was last updated on Jul 9, 2007.