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

Michael Tidwell, DMD

Individual provider General Practice Dentistry · NPI 1518954924

Michael Tidwell, DMD is a General Practice Dentistry in Daytona Beach, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

350 N Clyde Morris Blvd
Daytona Beach, FL 32114-2733
Phone: (386) 238-3280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN0007338 (FL)

Record details

NPI number1518954924
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 30, 2005
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 9671, Daytona Beach, FL 32120-9671

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