Steven David Tidwell in Rancho Cucamonga - General Practice

Steven David Tidwell - NPI 1801001987

Steven David Tidwell is a General Practice in Rancho Cucamonga, California. Steven David Tidwell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Steven David Tidwell is 1801001987. The last update date is 2007-09-26.

Steven David Tidwell's current location address is 7365 Carnelian St, Rancho Cucamonga, California. You can contact this provider via phone number 9099447308 and fax number 9094830813. The mailing address for Steven David Tidwell is 7365 Carnelian St, Rancho Cucamonga, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Steven David Tidwell
Address 7365 Carnelian St, Rancho Cucamonga, California
Phone Number 9099447308
Fax Number 9094830813
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1801001987
Provider Enumeration Date 2007-05-11
Last Updated Date 2007-09-26

Provider Mailing Address Detail

Address 7365 Carnelian St
City Rancho Cucamonga
State California (CA)
Post Code 917301158
Phone Number 9099447308
Fax Number 9094830813

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 29502
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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FAQs about Steven David Tidwell

What is the Steven David Tidwell's unique identification number?

The Steven David Tidwell has been assigned the NPI (National Provider Identifier) Number 1801001987 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Steven David Tidwell?

The Steven David Tidwell is physically situated at 7365 Carnelian St, in the city of Rancho Cucamonga, state of CA, with the postal code 917301158.

What is Steven David Tidwell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Steven David Tidwell is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date was the 1801001987 assigned to Steven David Tidwell?

The Steven David Tidwell was issued its 1801001987 on 2007-05-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Steven David Tidwell most recently updated or refreshed?

The details pertaining to the Steven David Tidwell, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-09-26.

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