Search › Utah › 1223P0221X
Austin Tidwell, DMD
NPI 1265059091 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1082n N Northcounty Blvd
Pleasant Grove, UT 84062 - Phone
- (801) 756-6048
Additional practice sites
- 1001 Shadow Ln # Ms 7423, Las Vegas, NV
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Also registered as
- 122300000X
1223G0001X - Licence states on file
- NV, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah