Dr. Gregg Carrington Tidwell is a Monroe, Louisiana 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. Gregg Carrington Tidwell is 3793 for General Practice Dentistry in Louisiana. His current practice location is 1512 Royal Ave, Monroe. Patients can reach him at 318-387-5400.
Dr. Gregg Carrington 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. Gregg Carrington 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. Gregg Carrington Tidwell
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
1512 Royal Ave, Monroe, Louisiana, 71201-5610
Phone:
318-387-5400
Fax:
318-387-5440
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:
1639223043
NPI Enumeration Date:
23 Jan, 2007
NPI Last Update On:
09 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. Gregg Carrington Tidwell are as mentioned below.
License Number
Specialization
State
Status
3793
General Practice Dentistry
Louisiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Gregg Carrington Tidwell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1837938
Medicaid
Louisiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1512 Royal Ave, Monroe, Louisiana
Zip:
71201-5610
Phone Number:
318-387-5400
Fax Number:
318-387-5440
Patients can reach Dr. Gregg Carrington Tidwell at 1512 Royal Ave, Monroe, Louisiana or can call to book an appointment on 318-387-5400. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.