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VAUGHN GRAY TIDWELL DMD PC
NPI 1578724407
Dentist - General Practice in Forest Grove, OR

Active since June 23, 2008
2236 PACIFIC AVE, SUITE A, FOREST GROVE, OR 97116(503) 359-5481(503) 359-7882 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vaughn Gray Tidwell Dmd Pc NPPES

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

VAUGHN GRAY TIDWELL DMD PC (NPI 1578724407) is a healthcare organization registered as a general practice in Forest Grove, Oregon and active in the NPI registry since June 2008. The organization lists Vaughn Gray Tidwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1578724407
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameVAUGHN GRAY TIDWELL DMD PC
Location Address2236 PACIFIC AVE, SUITE AForest Grove, OR 97116-2448
Mailing Address2236 Pacific AveForest Grove, OR 97116-2448 · (503) 359-5481 · Fax (503) 359-7882
Phone(503) 359-5481
Fax(503) 359-7882
Organization SubpartNo
Authorized OfficialVaughn Gray TidwellOwner · (503) 359-5481
Enumeration DateJune 23, 2008
✔ NPI 1578724407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · 5848
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.
2236 PACIFIC AVE, Forest Grove, OR 97116
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

VAUGHN G TIDWELL D.M.D.
Dentist (General Practice)
2236 PACIFIC AVE
FOREST GROVE, OR 97116
Washington County (503) 359-5481
DR. NICKOLAS FELTEN D.D.S
Dentist (General Practice)
2236 PACIFIC AVE
FOREST GROVE, OR 97116
Washington County (503) 359-5481
JULIANNE SEOG DMD
Dentist
2236 PACIFIC AVE
FOREST GROVE, OR 97116
Washington County (503) 359-5481
DR. MARCUS DAVID UCHIDA D.M.D.
Dentist
2236 PACIFIC AVE
FOREST GROVE, OR 97116
Washington County (503) 359-5481
STONEBROOK FAMILY DENTAL, LLC
Clinic/Center (Dental)
2236 PACIFIC AVE
FOREST GROVE, OR 97116
Washington County (503) 359-5481

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 Vaughn Gray Tidwell Dmd PC's NPI number?

The NPI number for Vaughn Gray Tidwell Dmd PC is 1578724407. It was assigned to this organization in the NPPES registry on June 23, 2008.

Where is Vaughn Gray Tidwell Dmd PC located?

Vaughn Gray Tidwell Dmd PC is located at 2236 Pacific Ave Suite A, Forest Grove, OR 97116. The listed phone number is (503) 359-5481.

What is Vaughn Gray Tidwell Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Vaughn Gray Tidwell Dmd PC was last updated on June 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.