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

Dr. Eric Ivan Tidwell, DDS

Individual provider General Practice Dentistry · NPI 1932131562

Dr. Eric Ivan Tidwell, DDS is a General Practice Dentistry in Provo, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

777 N 500 W Ste 101A
Provo, UT 84601-1594
Phone: (801) 373-6362
Fax: (801) 373-0115
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 145165 (UT)

Record details

NPI number1932131562
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 6, 2006
Last updated in NPPESJuly 8, 2007
Mailing address777 N 500 W Ste 101a, Provo, UT 84601-1594

Other providers in Provo