Individual
DR. STEVEN DAVID TIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
218 W NEZ PERCE, JEROME, ID 83338-5077
(208) 324-3471
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312
(208) 734-5036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5242
ID
1223G0001X
General Practice Dentistry
29502
CA
Other
Enumeration date
05/11/2007
Last updated
04/24/2025
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