DR. Bill Shayne Tidwell, DDS
NPI #1053391797 in Fort Defiance, Arizona
Provider Information
- NPI Number
- 1053391797
- Entity Type
- Individual
- Name
- DR. Bill Shayne Tidwell, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jan 19, 2006
- Last Updated
- Oct 18, 2019
Practice Location
- Address
- CORNER OF ROUTE N12 AND N7
- City
- Fort Defiance
- State
- Arizona
- ZIP Code
- 86504-0589
- Phone
- (928) 729-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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