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

Dr. Joel Ray Tidwell, DDS

Individual provider Dentist · NPI 1386790848

Dr. Joel Ray Tidwell, DDS is a Dentist in Douglasville, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
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 →

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Practice location Address checks out

5897 Stewart Pkwy
Douglasville, GA 30135-2373
Phone: (770) 949-1821
Fax: (770) 942-2837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN009481 (GA)

Record details

NPI number1386790848
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 26, 2007
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022
Mailing address5897 Stewart Pkwy, Douglasville, GA 30135-2373

Other providers in Douglasville