| Dr Bill Shayne Tidwell, DDS | |
|
Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0589 | |
| (928) 729-8000 | |
| Not Available |
| Full Name | Dr Bill Shayne Tidwell |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053391797 | NPI | - | NPPES |
| 100454590A | Medicaid | KS | |
| 48-1181104 | Other | FEDERAL EMPLOYER NUMBER |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bill Shayne Tidwell, DDS Po Box 1801, Fort Defiance, AZ 86504-1801 Ph: (928) 729-8000 | Dr Bill Shayne Tidwell, DDS Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0589 Ph: (928) 729-8000 |
Dr. Lydia Purvis Winters, DMD Dentist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance Phs Hospital, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Sarah Radden, DDS Dentist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 313-204-0906 | |
Dr. Tyler Carty Holland, Dentist Medicare: Not Enrolled in Medicare Practice Location: Intersection Of Rt 7 And Rt 12, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Prof. Nghiem Thanh Le, DDS Dentist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8885 | |
Dr. Jason Ryan Price, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 & N7, Fort Defiance Phs Hospital, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Dr. Christine A Rizkalla, DMD Dentist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |