Vaughn G Tidwell in Forest Grove - General Practice
Vaughn G Tidwell - NPI 1083600753
Vaughn G Tidwell is a General Practice in Forest Grove, Oregon. Vaughn G Tidwell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Vaughn G Tidwell is 1083600753. The last update date is 2007-07-08.
Vaughn G Tidwell's current location address is 2236 Pacific Ave, Forest Grove, Oregon. You can contact this provider via phone number 5033595481 and fax number 5033597882. The mailing address for Vaughn G Tidwell is 2236 Pacific Ave, Forest Grove, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vaughn G Tidwell |
|---|---|
| Address | 2236 Pacific Ave, Forest Grove, Oregon |
| Phone Number | 5033595481 |
| Fax Number | 5033597882 |
| Sole Proprietor | X |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1083600753 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2236 Pacific Ave |
|---|---|
| City | Forest Grove |
| State | Oregon (OR) |
| Post Code | 971162448 |
| Phone Number | 5033595481 |
| Fax Number | 5033597882 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5848 |
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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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What is the unique identifier code issued to Vaughn G Tidwell by the Centers for Medicare & Medicaid Services?
The Vaughn G Tidwell has been assigned the NPI (National Provider Identifier) 1083600753. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Vaughn G Tidwell is physically located?
The Vaughn G Tidwell is situated at the following address: 2236 Pacific Ave, Forest Grove, OR 971162448.
What is Vaughn G Tidwell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Vaughn G Tidwell's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When did Vaughn G Tidwell receive its 1083600753 assignment?
The Vaughn G Tidwell was assigned its 1083600753 on 2005-09-27, which is the date when this unique identifier was issued to the organization.
When was the information regarding Vaughn G Tidwell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Vaughn G Tidwell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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