Tidwell, Austin

Tidwell, Austin is an sole proprietor health care provider with primary practice located at 1082N N Northcounty Blvd , Pleasant Grove UT 84062-3400. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Tidwell, Austin can be contacted via phone (801) 756-6048.

Contact Information

Primary practice address
1082N N Northcounty Blvd Pleasant Grove UT 84062-3400
Phone: (801) 756-6048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7421 Nevada
Dental Providers / General Practice 1223G0001X LL-538-20 Nevada
Dental Providers / Pediatric Dentistry 1223P0221X 12772511-9922 Utah

Profile Details

NPI number 1265059091
LBN Legal business name Tidwell, Austin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2020
Last updated Jun 28th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers