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DR. AUSTIN TIDWELL DMD
NPI 1265059091
Dentist - Pediatric Dentistry in Pleasant Grove, UT

Active since June 27, 2020
1082N N NORTHCOUNTY BLVD, PLEASANT GROVE, UT 84062(801) 756-6048 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2022, Jun 27, 2020 (2 updates tracked since 2020).

About Dr. Austin Tidwell Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AUSTIN TIDWELL DMD (NPI 1265059091) is an individual pediatric dentistry provider in Pleasant Grove, Utah, licensed in Utah (12772511-9922) and active in the NPI registry since June 2020. He maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1265059091
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. AUSTIN TIDWELLCredential: DMD
Location Address1082N N NORTHCOUNTY BLVDPleasant Grove, UT 84062-3400
Mailing Address3040 N Cullen CtPleasant Grove, UT 84062-9443 · (801) 358-2230
Phone(801) 756-6048
Sole ProprietorYes
Enumeration DateJune 27, 2020
Last NPPES UpdateJune 28, 20222 updates tracked since enumeration
NPPES CertifiedJune 28, 2022
✔ NPI 1265059091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in UT · 12772511-9922
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 7421 (NV)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License LL-538-20 (NV)
1082N N NORTHCOUNTY BLVD, Pleasant Grove, UT 84062
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Secondary Practice Location 1

Location 11001 Shadow Ln # MS 7423Las Vegas, NV 89106-4124 · Phone (702) 774-2416

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Austin Tidwell's NPI number?

The NPI number for Austin Tidwell is 1265059091. It was assigned to this individual provider in the NPPES registry on June 27, 2020.

Where is Austin Tidwell located?

Austin Tidwell practices at 1082N N Northcounty Blvd, Pleasant Grove, UT 84062. The listed phone number is (801) 756-6048.

What is Austin Tidwell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Austin Tidwell accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 13 other insurers list Austin Tidwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Austin Tidwell was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.