John K. Tidwell in Seattle - Oral And Maxillofacial Surgery

John K. Tidwell - NPI 1003906835

John K. Tidwell is a Oral And Maxillofacial Surgery in Seattle, Washington. John K. Tidwell practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for John K. Tidwell is 1003906835. The last update date is 2013-10-22.

John K. Tidwell's current location address is 1801 Nw Market St, Seattle, Washington. You can contact this provider via phone number 2067839672 and fax number 2067844812. The mailing address for John K. Tidwell is 1801 Nw Market St, Seattle, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name John K. Tidwell
Address 1801 Nw Market St, Seattle, Washington
Phone Number 2067839672
Fax Number 2067844812
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1003906835
Provider Enumeration Date 2006-10-13
Last Updated Date 2013-10-22

Provider Mailing Address Detail

Address 1801 Nw Market St
City Seattle
State Washington (WA)
Post Code 981073987
Phone Number 2067839672
Fax Number 2067844812

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No DE00006884
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about John K. Tidwell

What is the John K. Tidwell's 1003906835?

The John K. Tidwell's NPI (National Provider Identifier) Number is 1003906835. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the John K. Tidwell located?

The John K. Tidwell is located at 1801 Nw Market St, Seattle, WA 981073987.

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

The primary area of medical expertise for John K. Tidwell is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.

On what date did John K. Tidwell receive its 1003906835 assignment from the Centers for Medicare & Medicaid Services?

The John K. Tidwell was assigned its 1003906835 on 2006-10-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to John K. Tidwell last refreshed?

The information related to the John K. Tidwell, including its address, specialty, and other relevant details, was last updated on 2013-10-22.

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