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
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.