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Anthony Tidwell, D.D.S. — NPI 1992885404, Salt Lake City, UT | NPI Central

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NPI 1992885404

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Anthony Tidwell, D.D.S.

NPI 1992885404 · Dentist · Salt Lake City, UT

Provider details

NPI number: 1992885404
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: D.D.S.
Sex: Male
Sole proprietor: No
License: 142661 (UT)

Practice location

4110 Highland Dr

Suite #200

Salt Lake City, UT 84124-2676

Phone: (801) 278-1164

Fax: (801) 274-0124

More UT providers

Mailing address

4110 Highland Dr

Salt Lake City, UT 84124-2676

Registry dates

Enumerated: 2006-10-17
Last updated: 2007-07-08

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