DR. Joel Ray Tidwell, DDS

NPI #1386790848 in Douglasville, Georgia

Provider Information

NPI Number: 1386790848
Entity Type: Individual
Name: DR. Joel Ray Tidwell, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 26, 2007
Last Updated: Dec 15, 2022

Practice Location

Address: 5897 STEWART PKWY
City: Douglasville
State: Georgia
ZIP Code: 30135-2373
Phone: (770) 949-1821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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