Michael Tidwell in Daytona Beach - General Practice
Michael Tidwell - NPI 1518954924
Michael Tidwell is a General Practice in Daytona Beach, Florida. Michael Tidwell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael Tidwell is 1518954924. The last update date is 2007-07-08.
Michael Tidwell's current location address is Po Box 9671, Daytona Beach, Florida. You can contact this provider via phone number 3866767130 and fax number 3866767125. The mailing address for Michael Tidwell is Po Box 9671, Daytona Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Tidwell |
|---|---|
| Address | Po Box 9671, Daytona Beach, Florida |
| Phone Number | 3866767130 |
| Fax Number | 3866767125 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1518954924 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 9671 |
|---|---|
| City | Daytona Beach |
| State | Florida (FL) |
| Post Code | 321209671 |
| Phone Number | 3866767130 |
| Fax Number | 3866767125 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN0007338 |
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Definition: 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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Post Comment/ Review Below
What is the unique identifier code issued to Michael Tidwell by the Centers for Medicare & Medicaid Services?
The Michael Tidwell has been assigned the NPI (National Provider Identifier) 1518954924. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Michael Tidwell?
The Michael Tidwell is situated at Po Box 9671, in the city of Daytona Beach, state of FL, with the zip code 321209671.
What is the area of specialization for Michael Tidwell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael Tidwell is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518954924 to Michael Tidwell?
The Michael Tidwell received its 1518954924 assignment from the Centers for Medicare & Medicaid Services on 2005-09-30.
As of what date was the information pertaining to Michael Tidwell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael Tidwell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.