Dr. Otto Frederick Tidwell
D.D.S. | Oral and Maxillofacial Surgeon
19323 Lighthouse Plaza Blvd, Unit 4, Rehoboth Beach
Delaware, 19971-6162
302-226-1606 302-226-1609
Maps & DirectionsDr. Otto Frederick Tidwell is a Rehoboth Beach, Delaware based Oral and Maxillofacial Surgeon who is specialized in
Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Otto Frederick Tidwell is
DS022622L for Oral and Maxillofacial Surgery in Pennsylvania. His current practice location is
19323 Lighthouse Plaza Blvd, Unit 4, Rehoboth Beach. Patients can reach him at
302-226-1606.
Dr. Otto Frederick Tidwell deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Dr. Otto Frederick 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. Otto Frederick Tidwell |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 19323 Lighthouse Plaza Blvd, Unit 4, Rehoboth Beach,
Delaware, 19971-6162 |
| Phone: | 302-226-1606 |
| Fax: | 302-226-1609 |
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: | 1407803398 |
| NPI Enumeration Date: | 27 May, 2006 |
| NPI Last Update On: | 14 Jan, 2014 |
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. Otto Frederick Tidwell are as mentioned below.
| License Number | Specialization | State | Status | |
| DS022622L | Oral and Maxillofacial Surgery | Pennsylvania | Primary | |
| 22DIO1475500 | Oral and Maxillofacial Surgery | New Jersey | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Otto Frederick Tidwell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0060881000 | Other | Pennsylvania | BLUE CROSS PROVIDER NUMBE |
| 121367 | Other | Pennsylvania | UNITED CONCORDIA PROVIDER |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 19323 Lighthouse Plaza Blvd, Unit 4
Rehoboth Beach, Delaware |
| Zip: | 19971-6162 |
| Phone Number: | 215-880-9919 |
| Fax Number: | 215-557-8551 |
Patients can reach Dr. Otto Frederick Tidwell at
19323 Lighthouse Plaza Blvd, Unit 4, Rehoboth Beach, Delaware or can
call to book an appointment on 302-226-1606.
Comments/ Reviews:
Read all the reviews posted for Dr. Otto Frederick Tidwell below. You may also share your own experience with Dr. Otto Frederick 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.