Dr. 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.