JAMIE RENEE TIDWELL


Address: 703 W Park St, Cayuga, IN 47928-8207
Phone: 7654928099

JAMIE RENEE TIDWELL (NPI# 1477049989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477049989
Entity Type Individual
Full Name JAMIE RENEE TIDWELL
Credential LDH
Practice Address 703 W Park St
Cayuga
IN 47928-8207
Mailing Address Po Box 209
Cayuga
IN 47928-0209
Practice Telephone 7654928099
Practice Fax Number 7654929048
Mailing Telephone 7654928099
Mailing Fax Number 7654929048
Enumeration Date 2018-07-09
Last Update Date 2018-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 13005947A IN Dental Providers

Other Providers JAMIE TIDWELL

NPI Name Taxonomy Address Enumeration
1780224113 Jamie South Tidwell Student in an Organized Health Care Education/Training Program 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 2020-01-14

Office Location

Street Address 703 W PARK ST
City CAYUGA
State IN
Zip Code 47928-8207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417284043 Valley Professionals Community Health Center, Inc. Clinic/Center 703 W Park St, Cayuga, IN 47928-8207 2009-11-03
1497382402 Zakary Bushue Social Worker 703 W Park St, Cayuga, IN 47928-8207 2020-03-27
1245878529 Jr Pharmacy LLC No 5 Pharmacy 703 W Park St, Cayuga, IN 47928-8207 2019-12-17
1487206306 Andrea Lynn Davenport Nurse Practitioner 703 W Park St, Cayuga, IN 47928-8207 2019-07-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841823168 Illiana Ems, Inc. Ambulance 216 N Eugene Ave, Cayuga, IN 47928 2020-02-14
1033563846 Jordan West Specialist/Technologist 205 South Logan Street, Cayuga, IN 47928 2016-04-18
1346390309 Parke Clinic, PC Family Medicine 101 Grant St, Cayuga, IN 47928 2007-01-11
1104871664 Union Hospital Inc Family Medicine 114 N Division Street, Cayuga, IN 47928 2006-05-23
1366774960 Harrell's Home Healthcare, LLC Home Health 133 W Jackson St, Cayuga, IN 47928-8022 2010-02-05
1184019887 Casey West Specialist/Technologist 3792 N 75 W, Cayuga, IN 47928-8114 2015-03-31
1477665537 North Vermillion Comm. School Corporation Local Education Agency (LEA) 5551 N Falcon Dr, Cayuga, IN 47928-8181 2006-08-31
1821032111 Maureen A Socha General Practice 101 N Grant St, Cayuga, IN 47928-8208 2006-06-16
1639325137 Erik P Southard Nurse Practitioner 114 N Division St, Cayuga, IN 47928-8230 2008-08-15
1790941086 Laurie Joy Blanco Valera Family Medicine 114 N. Division, Cayuga, IN 47928-8230 2008-08-06
Find all providers in zip 47928

Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831702828 Oleg Borisyuk Dental Hygienist 804 S Green River Rd, Evansville, IN 47715-4106 2020-08-28
1578182309 Carrie Striplin Dental Hygienist 6420 Sunset Ln, Indianapolis, IN 46260-4633 2020-04-12
1154979458 Courtney Huffman Dental Hygienist 2709 Washington Ave Ste 2, Evansville, IN 47714-2412 2019-08-29
1972061562 Jaime L Kinsey Dental Hygienist 4952 W 500 N, Wabash, IN 46992-9017 2019-03-04
1144708512 Toni Leigh Szabo Dental Hygienist 14700 Carrigan Ct, Granger, IN 46530-4224 2018-07-29
1669964581 Lisa A Greene Dental Hygienist Conservative Dental Solutions, 101 N Cross Street, Waveland, IN 47989 2018-06-06
1730670639 Kathleen Mcmannes Dental Hygienist 4629 Melton Rd, Gary, IN 46403-2866 2018-05-25
1699298471 Stacy Lynn Lashenik Dental Hygienist 7101 E Lincoln Hwy, Crown Point, IN 46307-8821 2017-07-24
1861871170 Mercy Seat Dentistry Dental Hygienist 2155 Commerce Drive, Bluffton, IN 46714 2015-05-20
1992118426 Lynnette Martin-richey Dental Hygienist 1453 Flagstone Dr, Dyer, IN 46311-2294 2014-06-02
Find all providers with the same taxonomy

Competitor

Search similar providers

City CAYUGA
Zip Code 47928

Improve Information

Please comment or provide details below to improve the information on JAMIE RENEE TIDWELL.

Dataset Information

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.

Trending Searches