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DR. ERIC IVAN TIDWELL DDS
NPI 1932131562
Dentist - General Practice in Provo, UT

Active since July 06, 2006
777 N 500 W STE 101A, PROVO, UT 84601(801) 373-6362(801) 373-0115 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Eric Ivan Tidwell Dds NPPES

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

DR. ERIC IVAN TIDWELL DDS (NPI 1932131562) is an individual general practice provider in Provo, Utah, licensed in Utah (145165) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1932131562
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ERIC IVAN TIDWELLCredential: DDS
Location Address777 N 500 W STE 101AProvo, UT 84601-1594
Mailing Address777 N 500 W Ste 101aProvo, UT 84601-1594 · (801) 373-6362 · Fax (801) 373-0115
Phone(801) 373-6362
Fax(801) 373-0115
Sole ProprietorYes
Enumeration DateJuly 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1932131562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in UT · 145165
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.
777 N 500 W STE 101A, Provo, UT 84601
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Other Identifiers 4

Other0005877274UT · Aetn
Other145165UTUT · Delta
Other23820UT · Deseret Mutual
Other25762UT · Public Employees Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

ZACHARY TUTTLE TAYLOR D.D.S.
Dentist (General Practice)
777 N 500 W STE 101A
PROVO, UT 84601
Utah County (801) 373-6362
JAREN H. BLAKE MD
Family Medicine
777 N 500 W STE 101A
PROVO, UT 84601
Utah County (385) 375-7989

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 Eric Tidwell's NPI number?

The NPI number for Eric Tidwell is 1932131562. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Eric Tidwell located?

Eric Tidwell practices at 777 N 500 W Ste 101A, Provo, UT 84601. The listed phone number is (801) 373-6362.

What is Eric Tidwell's specialty?

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

What insurance does Eric Tidwell accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Humana and 2 other insurers list Eric 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 Eric Tidwell was last updated on July 8, 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.