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Dr. Gregg Carrington Tidwell, DDS
General Practice Dentistry in Monroe, Louisiana
NPI 1639223043

Gregg Carrington Tidwell is a General Practice Dentistry based in Monroe, LA and is specialized in General Practice. Gregg Carrington Tidwell practices in Monroe, LA and has the professional credentials of DDS. The NPI Number for Gregg Carrington Tidwell is 1639223043 and holds a License No. 3793 (Louisiana).

The current practice location address for Gregg Carrington Tidwell is 1512 Royal Ave, Monroe, LA and can be reached out via phone at 318-387-5400 and via fax at 318-387-5440. You can also correspond with Gregg Carrington Tidwell through the mailing address at 1512 ROYAL AVE, MONROE, LA - 71201-5610 (mailing address contact number: 318-387-5400).

Location: 1512 Royal Ave, Monroe, LA, 71201-5610
person
Provider Profile Details
NPI Number
1639223043
Provider Name
Gregg Carrington Tidwell
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1512 Royal Ave, Monroe, LA, 71201-5610
Phone Number
318-387-5400
Fax Number
318-387-5440
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1837938 05 LA
institution
Provider Business Practice Location Address Details
Address
1512 Royal Ave
City
State
Zip
71201-5610
Phone Number
318-387-5400
Fax Number
318-387-5440
person
Provider Business Mailing Address Details
Address
1512 Royal Ave
City
State
Zip
71201-5610
Phone Number
318-387-5400
Fax Number
318-387-5440
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
3793 (Louisiana)
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.
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