Otto Tidwell, D.D.S

NPI 1407803398 · on the registry since 2006 · sole proprietor

Practice

Address: 19323 Lighthouse Plaza Blvd
Unit 4
Rehoboth Beach, DE 19971
Phone: (302) 226-1606
Fax: (302) 226-1609
Organisation at this address: Southern Delaware Associates Of Dental Specialities
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Also registered as: 1223S0112X
Licence states on file: PA, NJ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-01-14

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 Delaware