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DR. JOEL RAY TIDWELL DDS
NPI 1386790848
Dentist in Douglasville, GA

Active since January 26, 2007
5897 STEWART PKWY, DOUGLASVILLE, GA 30135(770) 949-1821(770) 942-2837 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Joel Ray Tidwell Dds NPPES

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

DR. JOEL RAY TIDWELL DDS (NPI 1386790848) is an individual dentist in Douglasville, Georgia, licensed in Georgia (DN009481) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1386790848
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOEL RAY TIDWELLCredential: DDS
Location Address5897 STEWART PKWYDouglasville, GA 30135-2373
Mailing Address5897 Stewart PkwyDouglasville, GA 30135-2373 · (770) 949-1821 · Fax (770) 942-2837
Phone(770) 949-1821
Fax(770) 942-2837
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateDecember 15, 2022
NPPES CertifiedDecember 15, 2022
✔ NPI 1386790848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in GA · DN009481
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5897 STEWART PKWY, Douglasville, GA 30135
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THANH HA DMD
Dentist
5897 STEWART PKWY
DOUGLASVILLE, GA 30135
Douglas County (770) 949-1821
DR. DIMITRIOS ARFANAKIS D.M.D.
Dentist
5897 STEWART PKWY
DOUGLASVILLE, GA 30135
Douglas County (770) 949-1821
DOUGLAS DENTAL CARE LLC
Dentist (General Practice)
5897 STEWART PKWY
DOUGLASVILLE, GA 30135
Douglas County (770) 949-1821

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 Joel Tidwell's NPI number?

The NPI number for Joel Tidwell is 1386790848. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Joel Tidwell located?

Joel Tidwell practices at 5897 Stewart Pkwy, Douglasville, GA 30135. The listed phone number is (770) 949-1821.

What is Joel Tidwell's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Joel Tidwell was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.