Dr Otto Frederick Tidwell, DDS - Dentist in Rehoboth Beach, DE

Dr Otto Frederick Tidwell, DDS is a Dentist - Oral And Maxillofacial Surgery based in Rehoboth Beach, Delaware. Dr Otto Frederick Tidwell is licensed to practice in Pennsylvania (license number DS022622L) and his current practice location is 19323 Lighthouse Plaza Blvd, Unit 4, Rehoboth Beach, Delaware. He can be reached at his office (for appointments etc.) via phone at (302) 226-1606.

NPI number for Dr Otto Frederick Tidwell is 1407803398 and his current mailing address is 19323 Lighthouse Plaza Blvd, Unit 4, Rehoboth Beach, Delaware. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407803398.

Contact Information

Dr Otto Frederick Tidwell, DDS
19323 Lighthouse Plaza Blvd, Unit 4,
Rehoboth Beach, DE 19971-6162
(302) 226-1606
(302) 226-1609

Map and Direction




Healthcare Provider's Profile

Full NameDr Otto Frederick Tidwell
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location19323 Lighthouse Plaza Blvd, Rehoboth Beach, Delaware
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407803398
  • Provider Enumeration Date: 05/27/2006
  • Last Update Date: 01/14/2014

Medical Identifiers

Medical identifiers for Dr Otto Frederick Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407803398NPI-NPPES
0060881000OtherPABLUE CROSS PROVIDER NUMBE
121367OtherPAUNITED CONCORDIA PROVIDER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery DS022622L (Pennsylvania)Primary
1223S0112XDentist - Oral And Maxillofacial Surgery 22DIO1475500 (New Jersey)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Otto Frederick Tidwell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Otto Frederick Tidwell, DDS
19323 Lighthouse Plaza Blvd, Unit 4,
Rehoboth Beach, DE 19971-6162

Ph: (215) 880-9919
Dr Otto Frederick Tidwell, DDS
19323 Lighthouse Plaza Blvd, Unit 4,
Rehoboth Beach, DE 19971-6162

Ph: (302) 226-1606

Reviews and Comments


Dentist in Rehoboth Beach, DE

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Medicare: Medicare Enrolled
Practice Location: 18912 John J Williams Hwy, Rehoboth Beach, DE 19971
Phone: 302-645-6671    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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