Individual provider · Type 1 NPI

Todd A. Tidwell

General Practice Dentistry · Sumter, SC

NPI number 1659494565 Active

Practice location

1121 Broad Street, Suite 46
Sumter, SC 29150

Call (803) 436-5640 Map

Fax (803) 436-5641

Mailing address

2325 Willow Oak Drive
Columbia, SC 29223

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3502 (SC)

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 1659494565

Todd A. Tidwell's National Provider Identifier is 1659494565, issued on Apr 6, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Sumter, SC. The record was last updated on Jul 8, 2007.