Austin Tidwell, DMD
Pediatric Dentistry · Pleasant Grove, UT
UnclaimedDMDNPI 1265059091
- Primary taxonomy
- 1223P0221X
- Enumerated
- 2020-06-27
- Practice location
- Pleasant Grove, UT
- Last NPPES update
- 2022-06-28
State licenses
- NV · Dentist · NPPES self-reportedListed on NPI record
- NV · Dentist · NPPES self-reportedListed on NPI record
- UT · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.