Individual
DR. GREGG CARRINGTON TIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1512 ROYAL AVE, MONROE, LA 71201-5610
(318) 387-5400
(318) 387-5440
Mailing address
1512 ROYAL AVE, MONROE, LA 71201-5610
(318) 387-5400
(318) 387-5440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3793
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1837938
—
LA
Enumeration date
01/23/2007
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us