DR. Todd A Tidwell
NPI #1659494565 in Sumter, South Carolina
Provider Information
- NPI Number
- 1659494565
- Entity Type
- Individual
- Name
- DR. Todd A Tidwell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 6, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1121 BROAD STREET
- Address 2
- SUITE 46
- City
- Sumter
- State
- South Carolina
- ZIP Code
- 29150
- Phone
- (803) 436-5640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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