Tidwell, Todd A
Tidwell, Todd A is an individual health care provider with primary practice located at 1121 Broad Street Suite 46, Sumter SC 29150. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tidwell, Todd A can be contacted via phone (803) 436-5640.Contact Information
Primary practice address
1121 Broad Street Suite 46
Sumter SC 29150
Phone: (803) 436-5640
Fax: (803) 436-5641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3502 | South Carolina |
Profile Details
| NPI number | 1659494565 |
|---|---|
| LBN Legal business name | Tidwell, Todd A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
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