Dr Austin Tidwell, DMD - Dentist in Pleasant Grove, UT

Dr Austin Tidwell, DMD is a Dentist - Pediatric Dentistry based in Pleasant Grove, Utah. Dr Austin Tidwell is licensed to practice in Utah (license number 12772511-9922) and his current practice location is 1082n N Northcounty Blvd, Pleasant Grove, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 756-6048.

NPI number for Dr Austin Tidwell is 1265059091 and his current mailing address is 3040 N Cullen Ct, Pleasant Grove, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265059091.

Contact Information

Dr Austin Tidwell, DMD
1082n N Northcounty Blvd,
Pleasant Grove, UT 84062-3400
(801) 756-6048
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Austin Tidwell
GenderMale
SpecialityDentist - Pediatric Dentistry
Location1082n N Northcounty Blvd, Pleasant Grove, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265059091
  • Provider Enumeration Date: 06/27/2020
  • Last Update Date: 06/28/2022

Medical Identifiers

Medical identifiers for Dr Austin Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265059091NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 7421 (Nevada)Secondary
1223G0001XDentist - General Practice LL-538-20 (Nevada)Secondary
1223P0221XDentist - Pediatric Dentistry 12772511-9922 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Austin Tidwell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Austin Tidwell, DMD
3040 N Cullen Ct,
Pleasant Grove, UT 84062-9443

Ph: (801) 358-2230
Dr Austin Tidwell, DMD
1082n N Northcounty Blvd,
Pleasant Grove, UT 84062-3400

Ph: (801) 756-6048

Reviews and Comments


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