DR. VICTORIA LANE TIDWELL (NPI# 1295179745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295179745 |
| Entity Type | Individual |
| Full Name | DR. VICTORIA LANE TIDWELL |
| Credential | DMD |
| Practice Address |
12385 Sorrento Rd Ste B1 Pensacola FL 32507-8656 |
| Mailing Address |
7885 Normandy Blvd Jacksonville FL 32221-6640 |
| Practice Telephone | 8504927647 |
| Mailing Telephone | 9047831633 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN 20201 | FL | Dental Providers |
| Street Address |
12385 SORRENTO RD STE B1 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32507-8656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538725163 | Rachel Lynn Cain | Social Worker | Jacc Hudvash C/o Rachel Cain, 790 Veteran's Way, Pensacola, FL 32507 | 2019-05-20 |
| 1710489562 | Erika Ruth Atkins | Developmental Therapist | 14530 Perdido Key Dr., Unit 6, Pensacola, FL 32507 | 2018-03-07 |
| 1013431600 | Megan Wohlers | Optometrist | 12591 Sorrento Rd Ste B, Pensacola, FL 32507 | 2017-07-26 |
| 1568834182 | Kalia Belessis | Behavioral Analyst | 30 S. 3rd Street, Pensacola, FL 32507 | 2015-10-22 |
| 1245677327 | Pensacola Imaging, LLC | Radiology | 12385 Sorrento Road, Suite B1, Pensacola, FL 32507 | 2013-05-29 |
| 1518301696 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5820 West Highway 98, Bldg 3737, Pensacola, FL 32507 | 2013-04-19 |
| 1851528764 | Xin Wei | Internal Medicine | 6000 West Highway 98, Apo, AP 32507 | 2009-06-18 |
| 1205033842 | Lori Lynn Douglass | Day Training, Developmentally Disabled Services | 4711 Huron Dr, Pensacola, FL 32507 | 2007-06-28 |
| 1346461985 | Jennifer Ann Sculley | Pharmacist | 13019 Sorrento Road, Pensacola, FL 32507 | 2007-05-01 |
| 1528183704 | Al M Ridlehoover | Dentist | 302 W Sunset Ave, Pensacola, FL 32507 | 2007-03-20 |
| Find all providers in zip 32507 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942728803 | Paul Rolfes | Dentist | 450 Turner St Ste A, Pensacola, FL 32508-5276 | 2017-08-31 |
| 1831619204 | Atticus Lawton Deacon | Dentist | 1133 Airport Blvd, Pensacola, FL 32504-8607 | 2017-06-26 |
| 1831577725 | Benjamin Clark White | Dentist | 1108 N 12th Ave, Suite C, Pensacola, FL 32501-3308 | 2015-05-11 |
| 1225427818 | Perdido Bay Dental Pa | Dentist | 12950 Lillian Hwy, Pensacola, FL 32506-8423 | 2015-01-20 |
| 1841690997 | Angel Vasquez | Dentist | 5710 N Davis Hwy Ste 1, Pensacola, FL 32503-2039 | 2014-08-26 |
| 1790184323 | Thomas W. Betterbed | Dentist | 665 Palomar Dr, #107, Pensacola, FL 32507-3379 | 2014-08-20 |
| 1134535875 | Taylor Mcgraw Mercke | Dentist | 5710 N Davis Hwy, Unit One, Pensacola, FL 32503-2088 | 2014-07-02 |
| 1578827127 | Jenna Marie Richards | Dentist | 760 East Ave Bldg 3911, Pensacola, FL 32508-5136 | 2012-06-28 |
| 1457614059 | Tyra Loriz Dmd | Dentist | 3298 Summit Blvd Ste 49, Pensacola, FL 32503-4350 | 2012-06-19 |
| 1801170626 | West Florida Dental | Dentist | 5710 N. Davis Hwy, Suite 1, Pensacola, FL 32503 | 2011-09-29 |
| Find all providers in PENSACOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.