BROCK TIDSTROM, DDS
General Practice Dentistry · FAIRBANKS, AK
Individual Active NPI 1184065435
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | ✓ | 1505 | AK |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
Other General Practice Dentistry providers in Alaska
- NPI 1356949622
- NPI 1609031285
- NPI 1548572761
- NPI 1386671170
- NPI 1720428352
- NPI 1225167661
- NPI 1144397290
- NPI 1770129538
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.