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: July 19, 2026.

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

  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About TIDWELL SMILES PLLC

This page provides the complete NPI Profile along with additional information for Tidwell Smiles Pllc, a provider established in Houston, Texas operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1952906604 assigned on December 2020. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Tidwell Smiles Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Harry Luther (Credentialing Coordinator)

NPI
1952906604 Verify this NPI
Provider Name
TIDWELL SMILES PLLC
Entity Type
Organization
Location Address
9415 MESA DR STE B HOUSTON, TX 77028
Location Phone
(832) 369-6775
Location Fax
(682) 222-1093
Mailing Address
3838 N SAM HOUSTON PKWY E STE 430 HOUSTON, TX 77032
Mailing Phone
(832) 369-6775
Mailing Fax
(682) 222-1093
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2020
Last Update Date
06-23-2021
Code Navigator

A dentist like Tidwell Smiles Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • DentaQuest PPO Pediatric High - PPO
  • DentaQuest PPO Family Basic - PPO
  • DentaQuest PPO Family High - PPO
  • DentaQuest PPO Family Low - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. HARRY LUTHER

Authorized Official Title
CREDENTIALING COORDINATOR
Authorized Official Phone
(832) 369-6775

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952906604, enumerated as an "organization" on December 01, 2020.

The provider is located at 9415 MESA DR STE B HOUSTON, TX 77028 and the phone number is (832) 369-6775.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: DentaQuest USA Insurance Company, Inc.. Please consult your insurance carrier or call the provider to verify.