VAUGHN G TIDWELL (D.M.D.) – General Practice Dentistry, NPI 1083600753

VAUGHN G TIDWELL (D.M.D.) is a healthcare provider. based in Forest grove, Oregon. specializing in General Practice Dentistry. They hold the professional credentials D.M.D.. They hold a License No. 5848 (OR). The NPI Number for VAUGHN G TIDWELL (D.M.D.) is 1083600753

Main info

Male
Name
VAUGHN G TIDWELL (D.M.D.)
NPI
1083600753
Phone
(503) 359-5481
Address
2236 PACIFIC AVE
Enumeration Date
27 September 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for VAUGHN G TIDWELL (D.M.D.)

  • 2236, Pacific Avenue, Forest Grove, Metro, Washington County, Oregon, 97116, United States

    FOREST GROVE, OR 971162448

    Phone: (503) 359-5481

    Fax: (503) 359-7882

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97116)

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Reviews

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Frequently asked questions

What is the standard ID for VAUGHN G TIDWELL (D.M.D.) in the U.S.?
In the U.S., VAUGHN G TIDWELL (D.M.D.) is identified by NPI 1083600753.
Quick check: is VAUGHN G TIDWELL (D.M.D.) active?
Public NPPES data shows VAUGHN G TIDWELL (D.M.D.) with an active NPI status right now.
What services align with VAUGHN G TIDWELL (D.M.D.)'s listing?
VAUGHN G TIDWELL (D.M.D.)'s public classification highlights General Practice Dentistry. Clinical services aligned with this taxonomy classification.
What geographic area is tied to VAUGHN G TIDWELL (D.M.D.)?
VAUGHN G TIDWELL (D.M.D.) is associated with Forest Grove, Oregon in the same public data insurers reference.
Can I export VAUGHN G TIDWELL (D.M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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