Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Austin Tidwell, DMD

Individual provider Dentist · NPI 1265059091

Dr. Austin Tidwell, DMD is a Dentist in Pleasant Grove, Utah. Practices as a sole proprietor and works from 2 locations. Licensed in Nevada and Utah.

Licensed in
NV, UT
In the registry since
2020
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1082N N Northcounty Blvd
Pleasant Grove, UT 84062-3400
Phone: (801) 756-6048
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 Shadow Ln # Ms 7423, Las Vegas, NV 89106-4124 — (702) 774-2416

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 12772511-9922 (UT)
Dentist Taxonomy 122300000X · Licence 7421 (NV)
General Practice Dentistry Taxonomy 1223G0001X · Licence LL-538-20 (NV)

Record details

NPI number1265059091
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 27, 2020
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022

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