Dr. Eric Ivan Tidwell is a Provo, Utah based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Eric Ivan Tidwell is
145165 for General Practice Dentistry in Utah. His current practice location is
777 N 500 W Ste 101a, Provo. Patients can reach him at
801-373-6362.
Dr. Eric Ivan Tidwell is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Eric Ivan Tidwell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Eric Ivan Tidwell |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 777 N 500 W Ste 101a, Provo,
Utah, 84601-1594 |
| Phone: | 801-373-6362 |
| Fax: | 801-373-0115 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1932131562 |
| NPI Enumeration Date: | 06 Jul, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Eric Ivan Tidwell are as mentioned below.
| License Number | Specialization | State | Status | |
| 145165 | General Practice Dentistry | Utah | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Eric Ivan Tidwell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 25762 | Other | Utah | PUBLIC EMPLOYEES HEALTH |
| 0005877274 | Other | Utah | AETN |
| 145165UT | Other | Utah | DELTA |
| 23820 | Other | Utah | DESERET MUTUAL |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 777 N 500 W Ste 101a,
Provo, Utah |
| Zip: | 84601-1594 |
| Phone Number: | 801-373-6362 |
| Fax Number: | 801-373-0115 |
Patients can reach Dr. Eric Ivan Tidwell at
777 N 500 W Ste 101a, Provo, Utah or can
call to book an appointment on 801-373-6362.
Comments/ Reviews:
Read all the reviews posted for Dr. Eric Ivan Tidwell below. You may also share your own experience with Dr. Eric Ivan Tidwell. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.