Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801001987 Individual Practitioner Male Practitioner

Dr. Steven David Tidwell , DDS

Dentist • Jerome, ID

Professional Overview & Biography Verified Profile Summary

Dr. Steven Tidwell, DDS is a registered healthcare professional specializing in Dentist in Jerome, ID. Practice services are available at 218 W NEZ PERCE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

218 W Nez Perce

Jerome, ID 833385077

Telephone 2083243471
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jerome, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Jerome, ID (448 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

CMS Verified: 2025-04-24
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License ID 5242

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CA 29502

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

6 Associated Practitioners
Toni Miller , FNP

Nurse Practitioner - Family

NPI 1194158246

Family Nurse Practitioner

Todd Thorne , PA

Physician Assistant - Medical

NPI 1194198929

Physician Assistant

Laura Acero , LCSW-R

Social Worker - Clinical

NPI 1417094012

Licensed Clinical Social Worker - Registered

Jesse Balls , PA-C

Physician Assistant - Medical

NPI 1487026191

Physician Assistant (Certified)

NPI 1902941750

Doctor of Medicine (M.D.)

David Edwards , LPC, LPCC

Counselor - Mental Health

NPI 1982285748

Licensed Professional Counselor, Licensed Professional Clinical Counselor

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 24, 2025

Registered at 218 W NEZ PERCE, JEROME, ID 833385077 (Tel: 2083243471)

📍
Updated Business Mailing Address April 24, 2025

Registered at 794 EASTLAND DR, TWIN FALLS, ID 833016856 (Tel: 2087343312)

NPI Profile Active September 26, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2007

Registered at 1918 BUSINESS CENTER DR, SUITE 210, SAN BERNARDINO, CA 924083439 (Tel: 9098813336)

📍
Updated Business Mailing Address September 26, 2007

Registered at 7365 CARNELIAN ST, SUITE 135, RANCHO CUCAMONGA, CA 917301158 (Tel: 9099447308)

👤
Provider Name / Credentials Updated September 26, 2007

Recorded as STEVEN TIDWELL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2007

Dentist (License #29502 in CA)

🟢
Initial NPI Registration & Enumeration May 11, 2007

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: 1801001987
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2007
Last Update: April 24, 2025
Sole Proprietor: Yes

Mailing Address

794 Eastland Dr

Twin Falls, ID 833016856

Phone: 2087343312

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.