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Dr. Austin Tidwell, DMD
Pediatric Dentist in Pleasant Grove, Utah
NPI 1265059091

Austin Tidwell is a Pediatric Dentist based in Pleasant Grove, UT and is specialized in Pediatric Dentistry. Austin Tidwell practices in Pleasant Grove, UT and has the professional credentials of DMD. The NPI Number for Austin Tidwell is 1265059091 and holds a License No. 7421 (Utah).

The current practice location address for Austin Tidwell is 1082N N Northcounty Blvd, Pleasant Grove, UT and can be reached out via phone at 801-756-6048.

Location: 1082N N Northcounty Blvd, Pleasant Grove, UT, 84062-9443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265059091
Provider Name
Austin Tidwell
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1082N N Northcounty Blvd, Pleasant Grove, UT, 84062-9443
Phone Number
801-756-6048
Fax Number
Provider Enumeration Date
06/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1082N N Northcounty Blvd
City
Pleasant Grove
State
Utah
Zip
84062-3400
Phone Number
801-756-6048
Fax Number
person
Provider Business Mailing Address Details
Address
1082N N Northcounty Blvd
City
Pleasant Grove
State
Utah
Zip
84062-3400
Phone Number
801-756-6048
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
12772511-9922 (Utah)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
LL-538-20 (Nevada)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
7421 (Nevada)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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