Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518954924 Individual Practitioner Male Practitioner

Dr. Michael Tidwell , DMD

Dentist - General Practice • Daytona Beach, FL

Professional Overview & Biography Verified Profile Summary

Dr. Michael Tidwell, DMD is a registered healthcare professional specializing in Dentist - General Practice in Daytona Beach, FL. Practice services are available at 350 N CLYDE MORRIS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

350 N Clyde Morris Blvd

Daytona Beach, FL 321142733

Telephone 3862383280
Associated Practice Facility / Clinic
🏢 Florida Health Care Plans Inc Facility NPI 1841322005

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
38 Specialists

Practicing in Daytona Beach, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN0007338

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1396092052

Doctor of Dental Surgery

Dr. Scott Grande , DDS

Dentist - General Practice

NPI 1982691507

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 350 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 321142733 (Tel: 3862383280)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 9671, DAYTONA BEACH, FL 321209671 (Tel: 3866767130)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL TIDWELL, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN0007338 in FL)

🟢
Initial NPI Registration & Enumeration September 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518954924
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2005
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 9671

Daytona Beach, FL 321209671

Phone: 3866767130

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.