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TIDWELL SMILES PLLC
NPI 1952906604
Dentist - General Practice in Houston, TX

Active since December 01, 2020
9415 MESA DR STE B, HOUSTON, TX 77028(832) 369-6775(682) 222-1093 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 23, 2021, Dec 1, 2020 (2 updates tracked since 2020).

About Tidwell Smiles Pllc NPPES

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

TIDWELL SMILES PLLC (NPI 1952906604) is a healthcare organization registered as a general practice in Houston, Texas and active in the NPI registry since December 2020. The organization lists Harry Luther, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1952906604
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIDWELL SMILES PLLC
Location Address9415 MESA DR STE BHouston, TX 77028-1202
Mailing Address3838 N Sam Houston Pkwy E Ste 430Houston, TX 77032-3418 · (832) 369-6775 · Fax (682) 222-1093
Phone(832) 369-6775
Fax(682) 222-1093
Organization SubpartNo
Authorized OfficialHarry LutherCredentialing Coordinator · (832) 369-6775
Enumeration DateDecember 1, 2020
Last NPPES UpdateJune 23, 20212 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
✔ NPI 1952906604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
9415 MESA DR STE B, Houston, TX 77028
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance Company, Inc..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 Tidwell Smiles PLLC's NPI number?

The NPI number for Tidwell Smiles PLLC is 1952906604. It was assigned to this organization in the NPPES registry on December 1, 2020.

Where is Tidwell Smiles PLLC located?

Tidwell Smiles PLLC is located at 9415 Mesa Dr Ste B, Houston, TX 77028. The listed phone number is (832) 369-6775.

What is Tidwell Smiles PLLC's specialty?

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

What insurance does Tidwell Smiles PLLC accept?

Health plans from DentaQuest USA Insurance Company, Inc. list Tidwell Smiles PLLC 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 Tidwell Smiles PLLC was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.