Individual
DR. JOHN ANTHONY BIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
912 RAILROAD AVENUE, TALLAHASSEE, FL 32304
(850) 487-3144
(850) 921-9770
Mailing address
PO BOX 2745, TALLAHASSEE, FL 32316
(850) 487-3144
(850) 921-9770
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN10711
FL
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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