SearchUtah122300000X

Anthony Tidwell, D.D.S

NPI 1992885404 · on the registry since 2006

Practice

Address
4110 Highland Dr
Suite #200
Salt Lake City, UT 84124
Phone
(801) 278-1164
Fax
(801) 274-0124
Organisation at this address
Olympus View Dental
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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