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NPI 1477049989

IndividualActive

Jamie Tidwell, LDH

NPI 1477049989 · Dental Hygienist · Clinton, IN

Provider details

NPI number: 1477049989
Entity type: Individual
Primary specialty: Dental HygienistDental Providers
Credential: LDH
Sex: Female
Sole proprietor: No
License: 13005947A (IN)

Practice location

1792 E State Road 163

Clinton, IN 47842-7327

Phone: (765) 828-3241

Fax: (765) 828-3243

More IN providers

Mailing address

1792 E State Road 163

Clinton, IN 47842-7327

Registry dates

Enumerated: 2018-07-09
Last updated: 2026-05-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jamie Tidwell, LDH — NPI 1477049989, Clinton, IN | NPI Central