DR. GREGG CARRINGTON TIDWELL D.D.S.
NPI 1639223043
Dentist - General Practice in Monroe, LA

Q: What is Gregg Tidwell's NPI number?

The NPI number for Gregg Tidwell is 1639223043. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Q: What is Gregg Tidwell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gregg Tidwell was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 23, 2007

1512 ROYAL AVE, MONROE, LA 71201(318) 387-5400(318) 387-5440 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Gregg Carrington Tidwell D.d.s. NPPES

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

DR. GREGG CARRINGTON TIDWELL D.D.S. (NPI 1639223043) is an individual general practice provider in Monroe, Louisiana, licensed in Louisiana (3793) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1639223043

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. GREGG CARRINGTON TIDWELLCredential: D.D.S.

Location Address1512 ROYAL AVEMonroe, LA 71201-5610

Mailing Address1512 Royal AveMonroe, LA 71201-5610 · (318) 387-5400 · Fax (318) 387-5440

Phone(318) 387-5400

Fax(318) 387-5440

Sole ProprietorYes

Enumeration DateJanuary 23, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1639223043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in LA · 3793

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.

1512 ROYAL AVE, Monroe, LA 71201

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Other Identifiers 1

Medicaid1837938LA

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 Gregg Tidwell's NPI number?

The NPI number for Gregg Tidwell is 1639223043. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Gregg Tidwell located?

Gregg Tidwell practices at 1512 Royal Ave, Monroe, LA 71201. The listed phone number is (318) 387-5400.

What is Gregg Tidwell'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 Gregg Tidwell was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.