Doctor profile · Federal record
Dr. Kyle Tidstrom, D.D.S.
Oral and Maxillofacial Surgery (Dentist) · Edina, MN
- NPI 1659343119
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
7373 France Ave S, Suite 602
Edina, MN 554354534
(952) 835-5003
fax (952) 835-9598
Credentials & registration
- NPI registered
- February 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223S0112X — NUCC code
- State license (1)
- Minnesota #D10340
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1659343119. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$25
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona INC | 1 | $24.89 |
By nature of payment
Frequently asked questions
What is Dr. Kyle Tidstrom's medical specialty?
Dr. Kyle Tidstrom practices Oral and Maxillofacial Surgery (Dentist) in Edina, MN.
Where does Dr. Kyle Tidstrom practice?
Dr. Kyle Tidstrom practices at 7373 France Ave S, Edina, MN 554354534. Office phone: 9528355003.
What is Dr. Kyle Tidstrom's NPI?
Dr. Kyle Tidstrom's National Provider Identifier (NPI) is 1659343119, issued by NPPES.