Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730475229 Individual Practitioner Male Practitioner

Dr. Schavez Labane Tidwell , DDS

Dentist - General Practice • Silver Spring, MD

Professional Overview & Biography Verified Profile Summary

Dr. Schavez Tidwell, DDS is a registered healthcare professional specializing in Dentist - General Practice in Silver Spring, MD. Practice services are available at 8609 2ND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8609 2nd Ave
Suite 504b

Silver Spring, MD 209103360

Telephone 3015655277
Fax 3015650048
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Silver Spring, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
149 Specialists

Practicing in Silver Spring, MD (2555 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 MD 9209

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dentist License
09209 (MD)

Practice Associates & Co-Workers

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

12 Associated Practitioners
Mojisola Agbebi

Social Worker

NPI 1134787328
Kitty Montie , LCSW-C

Social Worker - Clinical

NPI 1184747180

Licensed Clinical Social Worker - Certified

Daniel Enriquez

Behavior Analyst

NPI 1316471139
Jeffrey Diggs

Counselor

NPI 1336792381
NPI 1386035723

Board Certified Behavior Analyst

Dr. Lisa Newell , DDS

Dentist - General Practice

NPI 1427205871

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 June 22, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2011

Registered at 8609 2ND AVE, SUITE 504B, SILVER SPRING, MD 209103360 (Tel: 3015655277)

📍
Updated Business Mailing Address June 22, 2011

Registered at 8609 2ND AVE, SUITE 504B, SILVER SPRING, MD 209103360 (Tel: 3015655277)

👤
Provider Name / Credentials Updated June 22, 2011

Recorded as SCHAVEZ TIDWELL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2011

Dentist (License #9209 in MD)

🟢
Initial NPI Registration & Enumeration June 22, 2011

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: 1730475229
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2011
Last Update: June 22, 2011
Sole Proprietor: Yes

Mailing Address

8609 2nd Ave, Suite 504b

Silver Spring, MD 209103360

Phone: 3015655277

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.