Tidwell, Scott Alan

Tidwell, Scott Alan is an individual health care provider with primary practice located at 8390 W 80Th Ave , Arvada CO 80005-4471. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tidwell, Scott Alan can be contacted via phone (303) 425-6419.

Contact Information

Primary practice address
8390 W 80Th Ave Arvada CO 80005-4471
Phone: (303) 425-6419
Fax: (303) 347-8912
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6653 Colorado

Profile Details

NPI number 1538153481
LBN Legal business name Tidwell, Scott Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Aug 19th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers